Kesean Rae Bundy, DDS

Individual provider Active NPI General Practice Dentistry · Aurora, NE

NPI 1306779129 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1306779129
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8203 (NE)
Practice address
1219 13TH St
Aurora, NE 68818-1606
Phone
(402) 694-4002
Fax
(402) 694-4003
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8203NEMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8203 NE Yes

Addresses

Primary practice location

1219 13TH St
Aurora, NE 68818-1606

Mailing address

711 20TH St
Aurora, NE 68818-2506

Other providers in Aurora, NE

All providers in Aurora, NE · General Practice Dentistry in Nebraska

Sources for this page

Verify at the official NPI Registry.