Michelle Pangga Bunuan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112629 Issued in CA

Practice address

3351 El Camino Real Ste 100
Atherton, CA 94027-3802

Phone

(408) 848-9445

NPI assigned

Jun 24, 2024

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

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1609610708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL STE 100",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273802",
            "telephone_number": "408-848-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL STE 100",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273802",
            "telephone_number": "408-848-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNUAN",
        "first_name": "MICHELLE",
        "middle_name": "PANGGA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Barman, MPT
• Jennifer Elizabeth Berry
• Bilgen Esen Boyacigiller, RDN
• Brian W. Fong, DMD, Inc.
• Michael Brugos, DDS
• Luiza Caltabiano, RDN
• Dehua Chen
• Catherine Chong, MS, CCC-SLP
• Kimberly Lynn Christensen, ATC
• Shannon Elizabeth Clemons, AU.D.

• General Practice Dentistry in Atherton, CA
• Providers in Atherton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.