Bunkie Family Dentistry
Organization Active NPI Dental Clinic/Center · Bunkie, LA
NPI 1285776872 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1285776872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- BUNKIE FAMILY DENTISTRY
- Practice address
- 1002 NW Main St
Bunkie, LA 71322 - Phone
- (318) 346-9585
- Fax
- (318) 346-9596
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Sean Ashley Johnson, DDS
- Title
- Dentist/Owner
- Phone
- (318) 346-9585
Practitioners 1
-
Sean Johnson, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1002 NW Main St
Bunkie, LA 71322
Mailing address
1002 NW Main St
Bunkie, LA 71322
Phone (318) 346-9585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3827361 | Medicaid | LA |
Other providers in Bunkie, LA
- Angela Bonton
- Margaret Brasseaux
- Glenda Browndodson
- Bunkie City Drug, Inc.
- Bunkie Dentistry
- Bunkie General Hospital
- Bunkie General Pharmacy LLC
- Bunkie Pharmacy Inc
- Keithca Callihan
- Care Tec Pediatric Center, LLC
All providers in Bunkie, LA · Dental Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.