Provider Demographics
NPI:1922169432
Name:BUNN, STEVEN T (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:BUNN
Suffix:
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 1:205 S LOCUST ST APT 7
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-2506
Mailing Address - Country:US
Mailing Address - Phone:703-861-1343
Mailing Address - Fax:
Practice Address - Street 1:4701 COX RD STE 285
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6808
Practice Address - Country:US
Practice Address - Phone:615-995-1923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAO401006432122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist