Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JODY LYNN BUNTJER RDH
NPI 1639807183
Dental Hygienist in Rockford, IL

Active since August 11, 2022
3957 N MULFORD RD STE A, ROCKFORD, IL 61114(815) 637-6400 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Aug 11, 2022 (2 updates tracked since 2022).

About Mrs. Jody Lynn Buntjer Rdh NPPES

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

MRS. JODY LYNN BUNTJER RDH (NPI 1639807183) is an individual dental hygienist in Rockford, Illinois, licensed in Illinois (020009003) and active in the NPI registry since August 2022. She maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1639807183
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. JODY LYNN BUNTJERCredential: RDH
Location Address3957 N MULFORD RD STE ARockford, IL 61114-8004
Mailing Address3957 N Mulford Rd Ste ARockford, IL 61114-8004 · (815) 637-6400
Sole ProprietorYes
Enumeration DateAugust 11, 2022
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1639807183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in IL · 020009003
Definition
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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
3957 N MULFORD RD STE A, Rockford, IL 61114

Secondary Practice Location 1

Location 11110 S Mulford RdRockford, IL 61108-4213 · Phone (815) 398-3879

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Dental)
3957 N MULFORD RD STE A
ROCKFORD, IL 61114
Dentist (General Practice)
3957 N MULFORD RD STE A
ROCKFORD, IL 61114
Dental Hygienist
3957 N MULFORD RD STE A
ROCKFORD, IL 61114

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 Jody Buntjer's NPI number?

The NPI number for Jody Buntjer is 1639807183. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Jody Buntjer located?

Jody Buntjer practices at 3957 N Mulford Rd Ste A, Rockford, IL 61114. The listed phone number is (815) 637-6400.

What is Jody Buntjer's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jody Buntjer was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.