Individual provider · Type 1 NPI

Suchunya Bumrung

General Practice Dentistry · Las Vegas, NV

NPI number 1306538459 Active

Practice location

1001 Shadow Ln
Las Vegas, NV 89106-4124

Mailing address

1710 E Pine St
Central Point, OR 97502-2811

Other practice locations

  • 1315 Center Dr, Medford, OR 97501-7984 · (541) 773-4073
  • 1710 E Pine St, Central Point, OR 97502-2811 · (541) 665-1112

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001XD12386 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306538459

Suchunya Bumrung's National Provider Identifier is 1306538459, issued on May 25, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 29, 2026.