Provider Demographics
NPI:1386607463
Name:DUNBAR, ANDREW JOSEPH (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:DUNBAR
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:363 VILLAGE SQUARE LN
Mailing Address - Street 2:SUITE 155
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3657
Mailing Address - Country:US
Mailing Address - Phone:303-688-3837
Mailing Address - Fax:303-814-0167
Practice Address - Street 1:363 VILLAGE SQUARE LN
Practice Address - Street 2:SUITE 155
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3657
Practice Address - Country:US
Practice Address - Phone:303-688-3837
Practice Address - Fax:303-814-0167
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO77971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics