Provider Demographics
NPI:1447609144
Name:MUNSON, BAILEY STEVENS (DDS)
Entity Type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:STEVENS
Last Name:MUNSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BAILEY
Other - Middle Name:BUSH
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 OAK TREE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4074
Mailing Address - Country:US
Mailing Address - Phone:828-851-1115
Mailing Address - Fax:
Practice Address - Street 1:801 E WOODCROFT PKWY APT 432
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8269
Practice Address - Country:US
Practice Address - Phone:828-851-1115
Practice Address - Fax:828-851-1115
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist