Provider Demographics
NPI:1053561043
Name:SAUNDERS BUNDY, EMILY LOUISE (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LOUISE
Last Name:SAUNDERS BUNDY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 W COLFAX AVE
Mailing Address - Street 2:STE B160
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3733
Mailing Address - Country:US
Mailing Address - Phone:303-237-0307
Mailing Address - Fax:
Practice Address - Street 1:12600 W COLFAX AVE
Practice Address - Street 2:STE B160
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3733
Practice Address - Country:US
Practice Address - Phone:303-237-0307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN00010227122300000X
NMDD3122122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist