Provider Demographics
NPI:1760823983
Name:BUNCH, WILLIAM MAURICE (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MAURICE
Last Name:BUNCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:ORACLE
Mailing Address - State:AZ
Mailing Address - Zip Code:85623-0290
Mailing Address - Country:US
Mailing Address - Phone:520-896-9334
Mailing Address - Fax:
Practice Address - Street 1:710 EAST AMERICAN AVE.
Practice Address - Street 2:
Practice Address - City:ORACLE
Practice Address - State:AZ
Practice Address - Zip Code:85623-0290
Practice Address - Country:US
Practice Address - Phone:520-896-9334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1134291065OtherNPI