Provider Demographics
NPI:1245342518
Name:BUNKALL, DAVID MICHAEL (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:BUNKALL
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:705 1ST AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-4437
Mailing Address - Country:US
Mailing Address - Phone:620-227-2234
Mailing Address - Fax:620-227-8084
Practice Address - Street 1:705 1ST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-4437
Practice Address - Country:US
Practice Address - Phone:620-227-2234
Practice Address - Fax:620-227-8084
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-12-13
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Provider Licenses
StateLicense IDTaxonomies
KS607501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics