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DR. FREDERICK LYLE BUNCH D.D.S., M.S.
NPI 1912910589
Dentist - Oral and Maxillofacial Surgery in Stockton, CA

Active since August 14, 2006
756 PORTER AVE, SUITE 400, STOCKTON, CA 95207(209) 951-6387(209) 951-2824 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Frederick Lyle Bunch D.d.s., M.s. NPPES

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

DR. FREDERICK LYLE BUNCH D.D.S., M.S. (NPI 1912910589) is an individual oral and maxillofacial surgery provider in Stockton, California, licensed in California (21974) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912910589
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. FREDERICK LYLE BUNCHCredential: D.D.S., M.S.
Location Address756 PORTER AVE, SUITE 400Stockton, CA 95207-4232
Mailing Address756 Porter Ave, Suite 400Stockton, CA 95207-4232 · (209) 951-6387 · Fax (209) 951-2824
Phone(209) 951-6387
Fax(209) 951-2824
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1912910589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 21974
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

756 PORTER AVE, Stockton, CA 95207
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Other Identifiers 2

Medicare UPINT08286CA
MedicaidB2197401CA

Other Providers at the Same Location NPPES 5

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

DR. JOSE T FIDEL D.D.S
Dentist (General Practice)
756 PORTER AVE, SUITE 200
STOCKTON, CA 95207
San Joaquin County (209) 951-0444
MIRAJ KISHOR SANGHVI DDS,MD
Dentist (Oral and Maxillofacial Surgery)
756 PORTER AVE, SUITE 400
STOCKTON, CA 95207
San Joaquin County (209) 951-6387
PAYNE SANGHVI ORAL AND MAXILLOFACIAL SURGERY
Oral & Maxillofacial Surgery
756 PORTER AVE, SUITE 400
STOCKTON, CA 95207
San Joaquin County (209) 951-6387
DR. JEFFREY CHRISTOPHER PAYNE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
756 PORTER AVE, SUITE 400
STOCKTON, CA 95207
San Joaquin County (209) 951-6387
BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
756 PORTER AVE, SUITE 400
STOCKTON, CA 95207
San Joaquin County (209) 951-6387

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 Frederick Bunch's NPI number?

The NPI number for Frederick Bunch is 1912910589. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Frederick Bunch located?

Frederick Bunch practices at 756 Porter Ave Suite 400, Stockton, CA 95207. The listed phone number is (209) 951-6387.

What is Frederick Bunch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Frederick Bunch was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.