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Larry Buntyn, DDS
NPI 1659466753 · on the registry since 2006 · sole proprietor
Practice
- Address
- 14070 Dedeaux Rd
Gulfport, MS 39503 - Phone
- (228) 832-1951
- Fax
- (228) 832-5558
- Organisation at this address
- Mississippi Comprehensive Treatment Centers, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Mississippi