Provider Demographics
NPI:1285661660
Name:DUNN, WILLIAM BRUNA IV (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRUNA
Last Name:DUNN
Suffix:IV
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4564 BURKE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6017
Mailing Address - Country:US
Mailing Address - Phone:407-515-8500
Mailing Address - Fax:407-515-3039
Practice Address - Street 1:950 LAKE BALDWIN LANE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814
Practice Address - Country:US
Practice Address - Phone:407-515-8500
Practice Address - Fax:407-515-3039
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN161561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice