Provider Demographics
NPI:1194061903
Name:DUNN DENTAL CARE, PC
Entity type:Organization
Organization Name:DUNN DENTAL CARE, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-870-5700
Mailing Address - Street 1:1626 WOODFERN DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-1708
Mailing Address - Country:US
Mailing Address - Phone:205-870-5700
Mailing Address - Fax:205-870-5699
Practice Address - Street 1:244 COUNTRY CLUB PARK
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-4200
Practice Address - Country:US
Practice Address - Phone:205-870-5700
Practice Address - Fax:205-870-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5606122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty