DR. BRENTON BUNDRICK (NPI# 1619327020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619327020 |
| Entity Type | Individual |
| Full Name | DR. BRENTON BUNDRICK |
| Credential | D.D.S. |
| Practice Address |
7204 E Marshville Blvd Marshville NC 28103-1191 |
| Practice Telephone | 7049811664 |
| Mailing Telephone | 7049811664 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10327 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2641 Court Dr, Gastonia, NC 280541478 | 7048246988 |
| Street Address |
7204 E MARSHVILLE BLVD |
| City | MARSHVILLE |
| State | NC |
| Zip Code | 28103-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104839935 | Americare Ehalth | Family Medicine | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2006-08-14 |
| 1548724669 | Brenton Bundrick, Dds, Pllc | Clinic/Center | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700062817 | The Upper Group Inc. | Local Education Agency (LEA) | 6017 Highway 74 West Blvd., Po.111, Marshville, NC 28103 | 2008-01-18 |
| 1578786562 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | Box 4213 Ridge Run St, Marshville, NC 28103 | 2007-04-10 |
| 1932277761 | Marshville Pharmacy Inc | Pharmacy | 6330 A West Marshville Blvd, Marshville, NC 28103 | 2006-12-01 |
| 1093791337 | Autumn Corporation | Skilled Nursing Facility | 311 W Phifer Rd, Marshville, NC 28103 | 2005-12-19 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1861744971 | Joseph Elmo Green | Family Medicine | 609 Old Hyw 74, Marshville, NC 28103-0146 | 2012-10-12 |
| 1932686425 | Pamela C Smith | Registered Nurse | 502 N Elm St, Marshville, NC 28103-1029 | 2018-07-26 |
| 1306977871 | Pierce Family Wellness Center, Pllc | Chiropractor | 6315 W Marshville Blvd, Marshville, NC 28103-1176 | 2007-03-08 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689777377 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6713 E Marshville Blvd, Marshville, NC 28103-1192 | 2006-09-07 |
| Find all providers in zip 28103 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689754293 | John Leroy Bates | Dentist | 3355 Lanes Creek Rd, Marshville, NC 28103-9104 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1487265039 | John Michael Mckelvey Jr. | Dentist | 6238 Ardennes St, Fort Bragg, NC 28310-0001 | 2020-08-16 |
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | MARSHVILLE |
| Zip Code | 28103 |
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| 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.