| Bunkie Family Dentistry | |
|
1002 Nw Main St Bunkie LA 71322 | |
| (318) 346-9585 | |
| (318) 346-9596 |
| Full Name | Bunkie Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1002 Nw Main St, Bunkie, Louisiana |
| Authorized Official Name and Position | Sean Ashley Johnson (DENTIST/OWNER) |
| Authorized Official Contact | 3183469585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bunkie Family Dentistry 1002 Nw Main St Bunkie LA 71322 Ph: (318) 346-9585 | Bunkie Family Dentistry 1002 Nw Main St Bunkie LA 71322 Ph: (318) 346-9585 |
| NPI Number | 1285776872 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285776872 | NPI | - | NPPES |
| 3827361 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bunkie Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Nw Main St, Bunkie, LA 71322 Phone: 318-346-9585 Fax: 318-346-9596 |