Michael Bundy, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22761 Issued in NJ

Practice address

141 Tuckahoe Rd
Suite 380
Sewell, NJ 08080-3844

Phone

(856) 422-5200

Fax

(856) 319-7435

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Exchange of Turnersville LLC

  • Dental Clinic/Center
  • Sewell, NJ
  • NPI 1023543089
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1225256944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TUCKAHOE RD",
            "address_2": "SUITE 380",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803844",
            "telephone_number": "856-422-5200",
            "fax_number": "856-319-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TUCKAHOE RD",
            "address_2": "SUITE 380",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803844",
            "telephone_number": "856-422-5200",
            "fax_number": "856-319-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bruner, MD
• Laurie R. Bruner, MD
• Christopher Bucci
• Diane Marie Buchanan, PT
• Shannon Buckley, MA, LAC
• Jonathan E Burke, D.M.D.
• Meghan Deirdre Burke, MD
• Kelly Burns, PH.D.
• Gina Bushby, DPT
• Nicholas Butler, D.P.M.

• General Practice Dentistry in Sewell, NJ
• Providers in Sewell, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.