West Shore Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WEST SHORE FAMILY DENTAL

Practice address

1110 W Shore Dr
Richardson, TX 75080-4054

Phone

(972) 235-3675

NPI assigned

May 31, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marcie Hansen-Bunch, D.D.S.

Title

Owner/Dentist

Phone

(972) 235-3675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1861840845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SHORE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804054",
            "telephone_number": "972-235-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W SHORE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804054",
            "telephone_number": "972-235-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "HANSEN-BUNCH",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-235-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig William Weltge, M.D.
• Limei Wang Weng, MA
• Andra Lavonne Wesley, PH.D.
• Thomas Joseph Wesley
• David A. Wesolick
• West Texas Dental
• Mary West, P.T.
• Vicki Rene West
• Westassist, LLC
• Cherlonda Malika Westley, FNPC

• Dentist in Richardson, TX
• Providers in Richardson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.