Provider Demographics
NPI:1104937721
Name:DUNLAP, EMILY CATHERINE (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CATHERINE
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5208 CRAFTSMAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-6761
Mailing Address - Country:US
Mailing Address - Phone:704-377-3694
Mailing Address - Fax:704-377-9790
Practice Address - Street 1:411 BILLINGSLEY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1046
Practice Address - Country:US
Practice Address - Phone:704-377-3694
Practice Address - Fax:704-377-9790
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice