NPIMap

Organization Active NPI

Jeffery B. Bundy DDS PC Dba Todays Dental Comfort

  • Dental Clinic/Center
  • Burton, MI
National Provider Identifier
1962625442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16766 Issued in MI
Legal business name
JEFFERY B. BUNDY DDS PC DBA TODAYS DENTAL COMFORT
Practice address
5475 Davison Rd
Burton, MI 48509-1520
Phone
(810) 736-9778
Fax
(810) 736-3269
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Connie Webster
Title
Office Manager
Phone
(810) 736-9778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 16766 MI Primary

Addresses

Primary practice location

5475 Davison Rd
Burton, MI 48509-1520

Mailing address

5475 Davison Rd
Burton, MI 48509-1520
Phone (810) 736-9778

National Provider Directory

National Provider Directory
Tax ID family
Jeffery B Bundy DDS PC Dba Todays Dental Comfort2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5475 Davison Rd
Burton, MI 48509
Phone (810) 202-9608

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962625442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 DAVISON RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091520",
            "telephone_number": "810-736-9778",
            "fax_number": "810-736-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 DAVISON RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091520",
            "telephone_number": "810-736-9778",
            "fax_number": "810-736-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY B. BUNDY DDS PC DBA TODAYS DENTAL COMFORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-736-9778"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "16766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.