Organization
L. RANDY BUNTYN, D.M.D. , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ROSS BUNTYN JR. D.M.D. (PRESIDENT/MANAGER)
(228) 875-3343
Entity
Organization
Contact information
Practice address
1203 GOVERNMENT ST., OCEAN SPRINGS, MS 39564
(228) 875-3343
(228) 872-9794
Mailing address
1203 GOVERNMENT ST., OCEAN SPRINGS, MS 39564
(228) 875-3343
(228) 872-9794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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