Jody Lynn Buntjer, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020009003 Issued in IL

Practice address

3957 N Mulford Rd Ste a
Rockford, IL 61114-8004

Phone

(815) 637-6400

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

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.

• Oates Dental

  • Dental Clinic/Center
  • Rockford, IL
  • NPI 1306729363
  NPD
• Mys - Rockford LLC

  • Dental Clinic/Center
  • Rockford, IL
  • NPI 1952771636
  NPD (past)
• Mys-Roscoe LLC

  • Dental Clinic/Center
  • Roscoe, IL
  • NPI 1073340766
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1639807183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 N MULFORD RD STE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148004",
            "telephone_number": "815-637-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 N MULFORD RD STE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148004",
            "telephone_number": "815-637-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 S Mulford Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611084213",
            "country_code": "US",
            "telephone_number": "815-398-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNTJER",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020009003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric D Bullock, M.D.
• Heidi S Bullock, RPH
• Terry Lynn Bunger
• Alexandra Bunjan, LSW
• William L Buntain, MD
• Brittany Anne Bunton, LCPC
• Jeffrey V Burch, D.M.D.
• Todd D Burd, LCPC
• Mary Ann Buresh
• Colleen Burkart, APN

• Dental Hygienist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.