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KENNETH BARRY BUNDY DDS
NPI 1407862352
Dentist - General Practice in Albuquerque, NM

Active since July 31, 2006
4233 MONTGOMERY BLVD NE, SUITE 120W, ALBUQUERQUE, NM 87109(505) 884-7556(505) 884-8716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Barry Bundy Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH BARRY BUNDY DDS (NPI 1407862352) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (1138) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407862352
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH BARRY BUNDYCredential: DDS
Location Address4233 MONTGOMERY BLVD NE, SUITE 120WAlbuquerque, NM 87109-6749
Mailing Address4233 Montgomery Blvd Ne, Suite 120wAlbuquerque, NM 87109-6749 · (505) 884-7556 · Fax (505) 884-8716
Phone(505) 884-7556
Fax(505) 884-8716
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407862352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 1138
Definition
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.
4233 MONTGOMERY BLVD NE, Albuquerque, NM 87109
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MAUREEN ONEAL POLIKOFF MSW
Social Worker (Clinical)
4233 MONTGOMERY BLVD NE, SUITE 200-W
ALBUQUERQUE, NM 87109
Bernalillo County (505) 321-8506
SABRINA MANN, LISW LLC
Social Worker (Clinical)
4233 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 766-5311
MRS. SABRINA ILUTZI MANN LISW
Social Worker
4233 MONTGOMERY BLVD NE, SUITE 240 WEST
ALBUQUERQUE, NM 87109
Bernalillo County (505) 766-5311
MRS. JANIE TITUS LEVIS PH.D., LPCC
Counselor (Mental Health)
4233 MONTGOMERY BLVD NE, SUITE 200-W
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-8040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bundy's NPI number?

The NPI number for Kenneth Bundy is 1407862352. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Kenneth Bundy located?

Kenneth Bundy practices at 4233 Montgomery Blvd NE Suite 120W, Albuquerque, NM 87109. The listed phone number is (505) 884-7556.

What is Kenneth Bundy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Bundy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.