Search › Colorado › 122300000X
Samuel Bundrant, DMD
NPI 1023294436 · on the registry since 2008 · sole proprietor
Practice
- Address
- 10900 Smith Rd
Denver, CO 80239 - Phone
- (303) 371-4804
- Organisation at this address
- Cdoc
Colorado Department Of Corrections
Denver Reception & Diagnostic CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado