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Active NPI 1407862352 Individual Practitioner Male Practitioner

Dr. Kenneth Barry Bundy , DDS

Dentist - General Practice • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bundy, DDS is a registered healthcare professional specializing in Dentist - General Practice in Albuquerque, NM. Practice services are available at 4233 MONTGOMERY BLVD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4233 Montgomery Blvd Ne
Suite 120w

Albuquerque, NM 871096749

Telephone 5058847556
Fax 5058848716
Associated Practice Facility / Clinic
🏢 Sabrina Mann, Lisw Llc Facility NPI 1235546771

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
306 Specialists

Practicing in Albuquerque, NM (761 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 NM 1138

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

4 Associated Practitioners
Maureen Polikoff , MSW

Social Worker - Clinical

NPI 1083773287

Master of Social Work

NPI 1184667255

Doctor of Medicine (M.D.)

Sabrina Mann , LISW

Social Worker

NPI 1306888292

Licensed Independent Social Worker

Dr. Janie Levis , PhD, LPCC

Counselor - Mental Health

NPI 1497869176

Doctor of Philosophy (Ph.D.), Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4233 MONTGOMERY BLVD NE, SUITE 120W, ALBUQUERQUE, NM 871096749 (Tel: 5058847556)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4233 MONTGOMERY BLVD NE, SUITE 120W, ALBUQUERQUE, NM 871096749 (Tel: 5058847556)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH BUNDY, DDS

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

Dentist (License #1138 in NM)

🟢
Initial NPI Registration & Enumeration July 31, 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: 1407862352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4233 Montgomery Blvd Ne, Suite 120w

Albuquerque, NM 871096749

Phone: 5058847556

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.