Provider Demographics
NPI:1316518103
Name:DUNNE, SETH MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:MICHAEL
Last Name:DUNNE
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 1:6455 GALLERIA DR APT 4408
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6753
Mailing Address - Country:US
Mailing Address - Phone:319-389-5286
Mailing Address - Fax:
Practice Address - Street 1:801 GRAND AVE STE 150
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-8014
Practice Address - Country:US
Practice Address - Phone:515-243-3419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-100121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice