# SHERIDAN D BUNCH, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508531401
- **Authorized official:** DR. SHERIDAN DAVIES BUNCH DDS (OWNER)
- **Authorized official phone:** (512) 632-9001

## Contact information

- **Practice address:** 9073 W HWY 29, \#2107, LIBERTY HILL, TX 78642-7864
- **Practice address phone:** (512) 632-9001
- **Mailing address:** 164 SAN MINIATO ST, GEORGETOWN, TX 78628-7030
- **Mailing address phone:** (512) 632-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021