Bunnag Dental Associates, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11494 Issued in MD

Legal business name

BUNNAG DENTAL ASSOCIATES, INC.

Practice address

11104 Newport Mill Rd
Kensington, MD 20895-1633

Phone

(301) 942-9556

Fax

(301) 942-9556

NPI assigned

Nov 13, 2015

Last updated

Nov 13, 2015By 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. USA Bunnag, DDS

Title

President

Phone

(301) 681-2969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Marcus, D.M.D.

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1396740031
  NPD (past)

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1891169843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W STE 214",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011970",
            "telephone_number": "301-681-2969",
            "fax_number": "301-681-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 NEWPORT MILL RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951633",
            "telephone_number": "301-942-9556",
            "fax_number": "301-942-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNNAG DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "BUNNAG",
        "authorized_official_first_name": "USA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-681-2969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Brown, LAC MAC DIPLAC DIPLC
• Syd Brown, PHD
• Esther Klara Brunner-Kish, LCSW-C
• Barbara J Bryden, PA
• Blythe Nicole Bryner
• Kelly Burgdorf, AU.D.
• Rachel G Burnham, OT
• Abigail Burton
• Victoria Butler, LCSW-C
• Christina Nichol Byam, FNP

• General Practice Dentistry in Kensington, MD
• Providers in Kensington, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.