Basic Information
| Provider Information | |||||||||
| NPI: | 1053561043 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAUNDERS BUNDY | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | LOUISE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12600 W COLFAX AVE | ||||||||
| Address2: | STE B160 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802153733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032370307 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 12600 W COLFAX AVE | ||||||||
| Address2: | STE B160 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802153733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032370307 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2008 | ||||||||
| LastUpdateDate: | 06/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | DEN00010227 | CO | Y | Dental Providers | Dentist | 122300000X | DD3122 | NM | N | Dental Providers | Dentist |
No ID Information.