Provider Demographics
NPI:1417107418
Name:BUNDY, DAVID R (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:BUNDY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9200 W CROSS DR
Mailing Address - Street 2:SUITE #603
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2239
Mailing Address - Country:US
Mailing Address - Phone:303-932-7458
Mailing Address - Fax:303-932-7460
Practice Address - Street 1:9200 W CROSS DR
Practice Address - Street 2:SUITE #603
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2239
Practice Address - Country:US
Practice Address - Phone:303-932-7458
Practice Address - Fax:303-932-7460
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2015-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO102261223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery