CHANVATTANAK BUN


Address: 1212 Jackie Ln, Santa Maria, CA 93454-5926
Phone: 7145994393

CHANVATTANAK BUN (NPI# 1841807336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841807336
Entity Type Individual
Full Name CHANVATTANAK BUN
Practice Address 1212 Jackie Ln
Santa Maria
CA 93454-5926
Practice Telephone 7145994393
Mailing Telephone 7145994393
Enumeration Date 2020-09-28
Last Update Date 2020-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
105599 CA Dental Providers

Office Location

Street Address 1212 JACKIE LN
City SANTA MARIA
State CA
Zip Code 93454-5926

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164995825 Virgilia Elizabeth Kennedy Counselor 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 2019-01-05
1891290151 Philbert Ramirez Pandac Behavioral Analyst 1016 East Maint Street, Santa Maria, CA 93454 2018-03-28
1487166120 Good Samaritan Shelter Family Medicine 412 East Tunnell Street, Santa Maria, CA 93454 2017-11-03
1306357892 Aklilu Joseph Pharmacist 1700 S. Bradley Rd, Santa Maria, CA 93454 2017-10-24
1225557267 Eric Edward Lofstrand Counselor 1214 S Miller St Ste 11, Santa Maria, CA 93454 2017-09-11
1881112449 Tess Wianecki Physician Assistant 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 2017-09-05
1730603705 Cac Alvin Center Counselor 316 E Mcelhany Ave, Santa Maria, CA 93454 2017-08-01
1174045009 Peter A. Statti Md Inc. Pediatrics 1414 S. Miller St. #12, Santa Maria, CA 93454 2017-07-12
1982143970 Child Abuse Listening Mediation Community/Behavioral Health 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 2017-02-23
1821531344 Maria Isabel Lara Counselor 210 E Enos Dr, Santa Maria, CA 93454 2016-12-01
Find all providers in zip 93454

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326651548 Clayton Ore Johnson Dentist 1315 S Miller St Ste 201, Santa Maria, CA 93454-6910 2020-08-27
1508410002 Stuart Stephen Adam Dentist 125 E Stowell Rd Ste 103, Santa Maria, CA 93454-6681 2019-08-01
1477119956 Steven G. Johnson Dental Corporation Dentist 745 E Betteravia Rd, Santa Maria, CA 93454-7024 2019-05-10
1336602408 Jose Miguel Rodriguez Ramos Dentist 238 E Betteravia Rd, Santa Maria, CA 93454-7889 2019-04-07
1821555608 Cho Dental Corporation Dentist 1418 E Main St Ste 110, Santa Maria, CA 93454-4836 2019-02-27
1265955884 James P. Xing Dentist 1414 S Miller St Ste S, Santa Maria, CA 93454-6962 2017-07-25
1063879997 Azadeh Rastikerdar Dentist 1846 N Broadway # B, Santa Maria, CA 93454-1447 2016-01-22
1700280948 Bing S Qiao Dds Inc. Dentist 1414 S Miller St., Suite S, Santa Maria, CA 93454-6915 2014-10-17
1922231729 Zen Dental Group Dentist 2050 S Broadway Ste E, Santa Maria, CA 93454-8801 2009-08-26
1063641264 Minah Lee Dentist 1816 Danijay Way, Santa Maria, CA 93454-1590 2009-07-08
Find all providers in SANTA MARIA

Competitor

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City SANTA MARIA
Zip Code 93454

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Dataset Information

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.

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