Dr. Frederick Lyle Bunch
D.D.S., M.S. | Oral and Maxillofacial Surgeon
756 Porter Ave, Suite 400, Stockton
California, 95207-4232
209-951-6387 209-951-2824
Maps & DirectionsDr. Frederick Lyle Bunch is a Stockton, California based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Frederick Lyle Bunch is
21974 for Oral and Maxillofacial Surgery in California. His current practice location is
756 Porter Ave, Suite 400, Stockton. Patients can reach him at
209-951-6387.
Dr. Frederick Lyle Bunch deals with 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.
Complete Profile:
Dr. Frederick Lyle Bunch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Frederick Lyle Bunch |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S., M.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 756 Porter Ave, Suite 400, Stockton,
California, 95207-4232 |
| Phone: | 209-951-6387 |
| Fax: | 209-951-2824 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1912910589 |
| NPI Enumeration Date: | 14 Aug, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Frederick Lyle Bunch are as mentioned below.
| License Number | Specialization | State | Status | |
| 21974 | Oral and Maxillofacial Surgery | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Frederick Lyle Bunch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B2197401 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 756 Porter Ave, Suite 400
Stockton, California |
| Zip: | 95207-4232 |
| Phone Number: | 209-951-6387 |
| Fax Number: | 209-951-2824 |
Patients can reach Dr. Frederick Lyle Bunch at
756 Porter Ave, Suite 400, Stockton, California or can
call to book an appointment on 209-951-6387.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.