Individual provider · Type 1 NPI

Jody Lynn Buntjer, RDH

Dental Hygienist · Rockford, IL

NPI number 1639807183 Active

Practice location

3957 N Mulford Rd Ste A
Rockford, IL 61114-8004

Other practice locations

  • 1110 S Mulford Rd, Rockford, IL 61108-4213 · (815) 398-3879

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020009003 (IL)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

3 other providers at this address

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About NPI 1639807183

Jody Lynn Buntjer, RDH's National Provider Identifier is 1639807183, issued on Aug 11, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 20, 2026.