MR. CHET EDWARD BUNDY (NPI# 1811404494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811404494 |
| Entity Type | Individual |
| Full Name | MR. CHET EDWARD BUNDY |
| Credential | RDH |
| Practice Address |
1718 N Coastal Hwy Midway GA 31320-3415 |
| Mailing Address |
401 N Cromwell Rd Apt J7 Savannah GA 31410-3844 |
| Practice Telephone | 9128802288 |
| Mailing Telephone | 9126571519 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH012531 | GA | Dental Providers |
| Street Address |
1718 N COASTAL HWY |
| City | MIDWAY |
| State | GA |
| Zip Code | 31320-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306988571 | Rollin B Jackson IIi | Dentist | 1718 N Coastal Hwy, Midway, GA 31320-3415 | 2007-02-13 |
| 1780043000 | Midway Family Dental | Dentist | 1718 N Coastal Hwy, Midway, GA 31320-3415 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407123557 | Woodlands Healthcare & Rehab LLC | Skilled Nursing Facility | 625 Coastal Highway 17 N, Midway, GA 31320 | 2011-11-17 |
| 1467638221 | Trinity Healthcare Recruiting Corp | Contractor | 242 Coastal Hwy Suite 100, Prime Care Medical Bldg, Midway, GA 31320 | 2008-01-11 |
| 1043437502 | Noel C. Luis-smith | Physical Therapist | Us Highway 17 North, Woodlands Health Care LLC, Midway, GA 31320 | 2007-04-19 |
| 1245392224 | Coastal Drug Company LLC | Pharmacy | 204 Butler St, Midway, GA 31320 | 2006-12-15 |
| 1285643320 | Betty Jane Long | Pharmacist | 204 Butler Ave, Midway, GA 31320 | 2006-08-07 |
| 1255302733 | Woodland Health Care LLC | Skilled Nursing Facility | 652 N Coastal Hwy 17, Midway, GA 31320 | 2006-01-31 |
| 1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
| 1003391459 | Liberty Orthopaedic Associates | Orthopaedic Surgery | 586 Islands Highway, Midway, GA 31320 | 2018-10-02 |
| 1093214041 | Hospital Authority of Liberty County | General Practice | 586 Islands Highway, Midway, GA 31320 | 2018-02-06 |
| 1124144068 | Coastal Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 204 Butler St, Midway, GA 31320 | 2007-03-22 |
| Find all providers in zip 31320 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152197 | Leighann Elizabeth Rutland | Dental Hygienist | 119 Timberland Rd, Richmond Hill, GA 31324-4138 | 2020-10-23 |
| 1215543871 | Amy Lynnstarr Cohn | Dental Hygienist | 1252 Dunwoody Cv, Atlanta, GA 30338-2306 | 2020-09-18 |
| 1881214864 | Shante' L Mosley | Dental Hygienist | 2118 Belhaven Ln Se, Atlanta, GA 30315-6802 | 2020-04-20 |
| 1427687763 | Shelandra Barnes | Dental Hygienist | 3200 Highlands Pkwy Se Ste 110, Smyrna, GA 30082-5192 | 2020-04-08 |
| 1710516141 | Sara Jane Dever | Dental Hygienist | 955 Summerfield Dr, Cumming, GA 30040-1016 | 2020-04-07 |
| 1386273282 | Laranda Ninomiya | Dental Hygienist | 1595 Asheforde Dr, Marietta, GA 30068-1850 | 2020-04-03 |
| 1336778133 | Wazuri Deanna King | Dental Hygienist | 1505 W 3rd Ave Ste A, Albany, GA 31707-4420 | 2020-04-03 |
| 1669001467 | Pamela Cushenan | Dental Hygienist | 3000 Canton Hills Dr, Marietta, GA 30062-6746 | 2020-04-03 |
| 1285263095 | Judy Anne Stephenson | Dental Hygienist | 183 Paradise Blvd Ste 103b, Athens, GA 30607-1169 | 2020-04-03 |
| 1861021677 | Morristine Lynn Mcclain | Dental Hygienist | 3890 Redwine Rd Sw Ste 206, Atlanta, GA 30331-5583 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
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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.