Provider Demographics
NPI:1467527325
Name:BUNTING, WILLIAM MACLEAN (DDS MDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MACLEAN
Last Name:BUNTING
Suffix:
Gender:M
Credentials:DDS MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 MACLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024
Mailing Address - Country:US
Mailing Address - Phone:724-274-4823
Mailing Address - Fax:
Practice Address - Street 1:113 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024
Practice Address - Country:US
Practice Address - Phone:724-274-4658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD5015751L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics