Provider Demographics
NPI:1063764843
Name:DUNBAR, J. PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:J. PATRICK
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 HANA WAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630
Mailing Address - Country:US
Mailing Address - Phone:916-983-2434
Mailing Address - Fax:916-983-2481
Practice Address - Street 1:785 HANA WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-983-2434
Practice Address - Fax:916-983-2481
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA328261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics