Dental Choice of Melbourne LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL CHOICE OF MELBOURNE LLC

Practice address

402 N Babcock St Ste 103
Melbourne, FL 32935-7335

Phone

(321) 600-4487

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ioulia Yuma Bunker, DDS

Title

Dentist

Phone

(609) 410-3540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1730663352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 CHEDINGTON LN",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556915",
            "telephone_number": "609-410-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-600-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CHOICE OF MELBOURNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "IOULIA",
        "authorized_official_middle_name": "YUMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "609-410-3540",
        "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": [],
    "other_names": []
}

• Eric Carney Denley, M.D.
• Miriam Dennard
• Elvin Lephiew Dennington Jr., M.D.
• Dennis K King MD PA
• Dental 192
• Dentists of Melbourne, PA (Dentists of Melbourne)
• Myia Denton, LMHC
• Department of Veterans Affairs
• Elizabeth Erin Depelteau, PSY.D.
• Mia Nicole Depillo, OTR/L

• Dental Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.