Provider Demographics
NPI:1316059967
Name:PLUNK, DENNIS M SR (DDS)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:M
Last Name:PLUNK
Suffix:SR
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:PO BOX 1473
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-3809
Mailing Address - Country:US
Mailing Address - Phone:806-935-4161
Mailing Address - Fax:806-935-9085
Practice Address - Street 1:315 E 2ND
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029-3809
Practice Address - Country:US
Practice Address - Phone:806-935-4161
Practice Address - Fax:806-935-9085
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
TX99791223G0001X
OK35601223G0001X
MO0118071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice