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BUNCH-PAYNE ORAL AND MAXILLOFACIAL SURGERY NPI 1699818872


NPI Information

NPI: 1699818872
Provider Name: BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
756 PORTER AVE
SUITE 400
STOCKTON, CA
ZIP 95207
Phone: (209) 951-6387
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BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Stockton, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY NPI is 1699818872. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

756 PORTER AVE
SUITE 400
STOCKTON, CA
ZIP 95207-232
Phone: (209) 951-6387
Fax: (209) 951-2824

The provider's authorized official is Fred L Bunch .
The authorized official title is Partner and has the following contact phone number (209) 951-6387.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 9/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T08286MEDICARE UPINCALIFORNIA
2DK858ZOTHERCALIFORNIAPTAN - FRED BUNCH DDS
3DK845AMEDICARE PINCALIFORNIA
4D46419OTHERCALIFORNIADENTI-CAL DR PAYNE
5DK863ZMEDICARE PINCALIFORNIA
6V08402MEDICARE UPINCALIFORNIA
7D21974OTHERCALIFORNIADENTI-CAL DR BUNCH
8DK845AOTHERCALIFORNIAPTAN - BUNCH-PAYNE OMS
9DK863ZOTHERCALIFORNIAPTAN - JEFFREY PAYNE DDS
10DK858ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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