Individual
DR. JOHN WATSON BUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
312 MISSOURI ST, WEST MEMPHIS, AR 72301
(870) 735-1673
(870) 735-2847
Mailing address
PO BOX 188, WEST MEMPHIS, AR 72303
(870) 735-1673
(870) 735-2847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2346
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184611
BLUE CROSS BLUE SHIELD
TN
01
—
156643
UNITED CONCORDIA
—
01
—
58956
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/18/2007
Last updated
07/08/2007
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