Provider Demographics
NPI:1154659381
Name:BUNEK, JULIUS EDWIN II (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:EDWIN
Last Name:BUNEK
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4806 LOHR RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5910
Mailing Address - Country:US
Mailing Address - Phone:734-678-4029
Mailing Address - Fax:
Practice Address - Street 1:2715 PACKARD ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3336
Practice Address - Country:US
Practice Address - Phone:734-822-2200
Practice Address - Fax:734-822-2203
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010200911223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics