Sheridan D Bunch, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHERIDAN D BUNCH, DDS, PLLC

Practice address

9073 W Hwy 29
#2107
Liberty Hill, TX 78642-7864

Phone

(512) 632-9001

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sheridan Davies Bunch, DDS

Title

Owner

Phone

(512) 632-9001

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: sheridan@bunchdental.com

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1508531401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SAN MINIATO ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786287030",
            "telephone_number": "512-632-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9073 W HWY 29",
            "address_2": "#2107",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786427864",
            "telephone_number": "512-632-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN D BUNCH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "SHERIDAN",
        "authorized_official_middle_name": "DAVIES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-632-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHERIDAN@BUNCHDENTAL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9073 W Hwy 29",
            "address_2": "#2107",
            "city": "Liberty Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786427864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.