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Active NPI 1366169070 Organization (Entity Type 2)

Benjamin E Bunt Dds Pllc

Dentist - General Practice • Van, TX

About Benjamin E Bunt Dds Pllc NPI 1366169070 Summary

Benjamin E Bunt Dds Pllc is a verified healthcare organization specializing in Dentist - General Practice operating in Van, TX. Located at 299 QUAIL ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1366169070.

Administrative operations and authorized compliance are overseen by Jenny Garcia-Rocha (Credentialing Lead).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

299 Quail St

Van, TX 757903841

Telephone 9563170000
Fax 9039638681

Authorized Official Information

Authorized Contact Name

Jenny Garcia-Rocha

Title / Role

Credentialing Lead

Official Telephone

9728693789

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 24, 2022

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2022

Registered at 299 QUAIL ST, VAN, TX 757903841 (Tel: 9563170000)

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Updated Business Mailing Address October 24, 2022

Registered at 299 QUAIL ST, VAN, TX 757903841 (Tel: 9563170000)

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Organization / Clinic Name Updated October 24, 2022

Operating as BENJAMIN E BUNT DDS PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

Dentist

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Initial NPI Registration & Enumeration October 24, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1366169070
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 24, 2022
Last Update: October 24, 2022

Mailing Address

299 Quail St

Van, TX 757903841

Phone: 9563170000

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.