DR. CRAIG EMBERTSON BUNDY (NPI# 1194734277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194734277 |
| Entity Type | Individual |
| Full Name | DR. CRAIG EMBERTSON BUNDY |
| Credential | DDS |
| Practice Address |
652 Hamilton Road Dentac Fort Sill OK 73503-0000 |
| Practice Telephone | 5804425518 |
| Mailing Telephone | 5804425518 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1675 | MT | Dental Providers |
| Street Address |
652 HAMILTON ROAD DENTAC |
| City | FORT SILL |
| State | OK |
| Zip Code | 73503-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336125186 | Alan Palmer | Dentist | 652 Hamilton Road, Usa Dental Activity, Fort Sill, OK 73503-6300 | 2005-12-22 |
| 1396354882 | Sarah Kristina Seigfreid | Dentist | 652 Hamilton Road, Fort Sill, OK 73503 | 2020-07-30 |
| 1003332784 | David Matthew Wallitt | Dentist | 652 Hamilton Road, Fort Sill, OK 73503 | 2017-08-15 |
| 1194248831 | Stephen Thomas | Dentist | 652 Hamilton Road, Fort Sill, OK 73503 | 2017-07-25 |
| 1629525258 | Michael Masterson | Dentist | 652 Hamilton Road, Usa Dental Activity, Fort Sill, OK 73503 | 2016-09-01 |
| 1699221341 | Ilse Longerich | Dentist | 652 Hamilton Road, Usa Dental Activity, Fort Sill, OK 73503 | 2016-08-31 |
| 1194271973 | David Swann | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-08-31 |
| 1144671926 | Roxanna Lynn Cohn | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-23 |
| 1316397599 | Dianne Holly Ambrosek | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-17 |
| 1942650643 | Dayle Neptune | Dental Hygienist | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| Find all providers in zip 73503 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053322271 | Stephen Michael Byrne | Dentist | Allen Dental Clinic, 6037 Bessinger Rd, Fort Sill, OK 73503-0000 | 2006-08-11 |
| 1477525210 | Thomas Alan Corwin | Dentist | Bldg 6037 Bessinger Rd, Allen Dental Clinic, Fort Sill, OK 73503 | 2006-02-06 |
| 1336125186 | Alan Palmer | Dentist | 652 Hamilton Road, Usa Dental Activity, Fort Sill, OK 73503-6300 | 2005-12-22 |
| 1407847130 | Richard L. Hankins | Dentist | 2776 Ring Gold Road, Fort Sill, OK 73503 | 2005-11-02 |
| 1417471053 | Janet Myung | Dentist | 652 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2017-07-26 |
| 1134675747 | Jake Madsen | Dentist | 652 Hamilton Rd., Fort Sill, OK 73503 | 2016-09-01 |
| 1194850099 | Robert Allen Ruff | Dentist | 2776 Ringgold Rd, Fort Sill Dental Activity, Fort Sill, OK 73503-4449 | 2007-02-22 |
| 1467517425 | Tiffany Simmons | Dentist | 652 Hamilton Rd, Fort Sill, OK 73503 | 2006-12-27 |
| 1063518751 | Michael Fountain | Dentist | 2776 Ringgold Rd, Fort Sill Dentac, Fort Sill, OK 73503-6300 | 2006-09-16 |
| 1790743631 | James Raymond Seifried | Dentist | 2724 Brave Rifles Regiment Road, Usa Dental Activity, Fort Sill, OK 73503 | 2006-05-02 |
| Find all providers in FORT SILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.