Provider Demographics
NPI:1386367886
Name:DUNNING, TAMMY (RDH,IPDH)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:DUNNING
Suffix:
Gender:F
Credentials:RDH,IPDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NOVA ST
Mailing Address - Street 2:
Mailing Address - City:DIXFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04224-9567
Mailing Address - Country:US
Mailing Address - Phone:207-357-3814
Mailing Address - Fax:
Practice Address - Street 1:60 LOWELL ST
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:ME
Practice Address - Zip Code:04276-2064
Practice Address - Country:US
Practice Address - Phone:207-369-3600
Practice Address - Fax:207-369-3604
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2431124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist