R.M. Buntin, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

7287 Issued in GA

Legal business name

R.M. BUNTIN, DDS, PC

Practice address

2925 Player St
Brunswick, GA 31520-4950

Phone

(912) 265-2675

Fax

(912) 265-2886

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert McCollum Buntin, DDS

Title

President

Phone

(912) 265-2675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1922092832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 PLAYER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204950",
            "telephone_number": "912-265-2675",
            "fax_number": "912-265-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 PLAYER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204950",
            "telephone_number": "912-265-2675",
            "fax_number": "912-265-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.M. BUNTIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BUNTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MCCOLLUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-2675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "7287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.