L. RANDY BUNTYN, D.M.D. , PLLC (NPI# 1386016749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386016749 |
| Entity Type | Organization |
| Organization Name | L. RANDY BUNTYN, D.M.D. , PLLC |
| Practice Address |
1203 Government St. Ocean Springs MS 39564 |
| Practice Telephone | 2288753343 |
| Practice Fax Number | 2288729794 |
| Mailing Telephone | 2288753343 |
| Mailing Fax Number | 2288729794 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | LARRY ROSS BUNTYN JR. (PRESIDENT/MANAGER) |
| Authorized Official Telephone | 2288753343 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1203 GOVERNMENT ST. |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| 1235480054 | Denise M Martin | Speech-Language Pathologist | 1260 Ocean Springs Road, The Gardens, Ocean Springs, MS 39564 | 2012-09-20 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376839431 | Robert Mack Williams | Dentist | 6819 Washington Ave Ste C, Ocean Springs, MS 39564-2181 | 2011-06-27 |
| 1497948772 | Jonathan E Beaugez | Dentist | 2223 Government St., Ocean Springs, MS 39564 | 2007-08-21 |
| 1750508677 | Michael Rhett Humphreys | Dentist | 649 Jackson Ave, Ocean Springs, MS 39564-4621 | 2007-04-20 |
| 1437375201 | Anthony Kyle Chapman | Dentist | 6801 Washington Ave, Ocean Springs, MS 39564-2118 | 2007-04-18 |
| 1801919071 | Francis Eugene Janus | Dentist | 302 Porter Avenue, Ocean Springs, MS 39564-3714 | 2007-04-10 |
| 1548305972 | Ronald Hubbard Simnicht | Dentist | 2323 Government St, Ocean Springs, MS 39564-4011 | 2007-02-21 |
| 1891833752 | Peter Lee Ackerman | Dentist | 1145 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2007-02-02 |
| 1649324153 | Claude Henry Roberts | Dentist | 2113 Government St Ste K1, Ocean Springs, MS 39564-3949 | 2007-01-22 |
| 1649342676 | John S Tomsik | Dentist | 6650 Rose Farm Rd, Suite A, Ocean Springs, MS 39564-2117 | 2006-11-14 |
| 1003919903 | Charles A Smith | Dentist | 2810 Government St, Ocean Springs, MS 39564-5642 | 2006-09-06 |
| Find all providers in OCEAN SPRINGS | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
Please comment or provide details below to improve the information on L. RANDY BUNTYN, D.M.D. , PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.