Shandra Lolita Bundy-Smith, D.D.S.
General Practice Dentistry · Harvey, IL
Practice location
31 W 155TH StHarvey, IL 60426-3556
- Phone
- (708) 596-5177
NPI record
- NPI
- 1184769739
- Entity type
- Individual (Type 1)
- Enumeration date
- February 21, 2007
- Last updated
- July 13, 2021
- Certified
- July 13, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019023785 | IL |
| General Practice Dentistry | 1223G0001X |
12013090A | IN |
Mailing address
19512 Sequoia AveLynwood, IL 60411-6825
- Phone
- (708) 288-6295
- Fax
- (708) 889-1066
Other practice locations (1)
- 713 US Highway 41 Ste A, Schererville, IN 46375-1798 · (219) 293-8039
About Dr. Bundy-Smith
Shandra Lolita Bundy-Smith, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 31 W 155TH St, Harvey, IL 60426-3556. The NPI number 1184769739 was assigned on February 21, 2007 and the record was last updated on July 13, 2021.
Dr. Bundy-Smith lists 2 licenses in the registry: #019023785 (IL) for General Practice Dentistry; #12013090A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shandra Lolita Bundy-Smith, D.D.S.?
The NPI number is 1184769739.
What is the phone number of Dr. Bundy-Smith?
The phone number listed for the practice location is (708) 596-5177.
Where is Dr. Bundy-Smith located?
31 W 155TH St, Harvey, IL 60426-3556.
What is the taxonomy code for Dr. Bundy-Smith?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Harvey
- Roslyn Travis-Stratton, D.D.S.31 W 155TH St
- Craig Irvine, DMD31 W 155TH St
- Alisha Patel, D.M.D31 W 155TH St