Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suchunya Bumrung

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306538459

Suchunya Bumrung is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1001 Shadow Ln
Las Vegas, NV 89106-4124
Phone: (702) 774-2545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1710 E Pine St, Central Point, OR 97502-2811 — (541) 665-1112
  • 1315 Center Dr, Medford, OR 97501-7984 — (541) 773-4073

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12386 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306538459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address1710 E Pine St, Central Point, OR 97502-2811

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