DR. NICOLE BUNDY-SOLAK PLLC NPI 1003683418

NPI Information

NPI: 1003683418
Provider Name: DR. NICOLE BUNDY-SOLAK PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4025 E HILL RD
GRAND BLANC, MI
ZIP 48439
Phone: (810) 695-4300
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DR. NICOLE BUNDY-SOLAK PLLC is a dental clinic center in Grand Blanc, MI. DR. NICOLE BUNDY-SOLAK PLLC NPI is 1003683418. The provider is registered as an organization entity type.

The provider's business location address is:

4025 E HILL RD
GRAND BLANC, MI
ZIP 48439-942
Phone: (810) 695-4300

The provider's authorized official is Nicole Christine Bundy-solak .
The authorized official title is Owner and has the following contact phone number (810) 247-1314.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1497370720	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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