| Organization Name: | DAVID M. BUNKALL, D.D.S., M.S., P.A. |
| NPI Number: | 1265743934 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MICHAEL BUNKALL (PRESIDENT) |
| Mailing Address: | 705 1st Ave Ste B Dodge City |
| State: | KS US |
| Postal Code: | 678014437 |
| Phone Number: | 6202272234 |
| Fax Number: | 6202278084 |
| NPI Enumeration Date: | 06/28/2010 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 60750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |