Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1972685535 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Lynn Bundy , DDS

Dentist - General Practice • Maricopa, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffrey Bundy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2006
NPI Deactivation Date June 30, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Bundy, DDS was a registered Dentist - General Practice practicing in Maricopa, AZ. Throughout an active medical career spanning 14 years, Dr. Bundy provided care at the practice location at 21116 N JOHN WAYNE PKWY until profile deactivation on 2020-06-30.

Practice Location & Contact Primary Location

Practice Address

21116 N John Wayne Pkwy
Suite B7

Maricopa, AZ 852392931

Telephone 5205681551
Fax 5205680443

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maricopa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Maricopa, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 1873

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Nikita Kuppanda

Dentist - Pediatric Dentistry

NPI 1649648668

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 30, 2020

Record deactivated on June 30, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 21116 N JOHN WAYNE PKWY, SUITE B7, MARICOPA, AZ 852392931 (Tel: 5205681551)

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Updated Business Mailing Address July 08, 2007

Registered at 2405 S EL DORADO, MESA, AZ 852027305 (Tel: 5205681551)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY BUNDY, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1873 in AZ)

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Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972685535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: July 08, 2007
Deactivation Date: June 30, 2020

Mailing Address

2405 S El Dorado

Mesa, AZ 852027305

Phone: 5205681551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.