Nicole Christine Bundy-Solak

Primary specialty

DentistTaxonomy code 122300000X

License

2901600483 Issued in MI

Practice address

4025 E Hill Rd
Grand Blanc, MI 48439-7942

Phone

(810) 695-4300

NPI assigned

Jun 12, 2020

Sex

Female

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

Locations

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.

• Dr. Nicole Bundy-Solak PLLC

  • Dental Clinic/Center
  • Grand Blanc, MI
  • NPI 1003683418
  NPD Authorized official
• Riverglow Dental PLLC

  • Dental Clinic/Center
  • Corunna, MI
  • NPI 1194672469
  NPD (past)
• Riverview Dental, PC

  • General Practice Dentistry
  • Corunna, MI
  • NPI 1881699239
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1497370720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 N ELMS RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339039",
            "telephone_number": "810-247-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397942",
            "telephone_number": "810-695-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY-SOLAK",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Buckle, LPN
• Andre Buclay
• Joel B Buffington, D.O.
• Avial Buggs
• Jordan Bultsma
• Bradley Allen Burau, DDS
• Scott David Burau, DDS
• Annie Burcheci, MD
• Jennifer Ann Burchell, FNP-BC
• Robert M Burdick, CRNA

• Dentist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.