Katielyn Bunting, DDS
Dentist, General Practice in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1154445294
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1154445294
- Entity type
- Individual (NPI-1)
- Name
- Katielyn Bunting
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2007
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3829 | SC | Yes |
| 1223G0001X | Dentist, General Practice | 21757 | MA |
Practice location
1701 Beaucastle RdMt Pleasant, SC 29464-3685
Phone 843-818-5437
Mailing address
1701 Beaucastle Rd Ste AMt Pleasant, SC 29464-3685
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