Provider Demographics
NPI:1932231644
Name:NUNNERY, AARON RAY (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:RAY
Last Name:NUNNERY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3050 CITRUS CIR
Mailing Address - Street 2:#220
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2698
Mailing Address - Country:US
Mailing Address - Phone:925-935-1933
Mailing Address - Fax:925-935-8566
Practice Address - Street 1:3050 CITRUS CIR
Practice Address - Street 2:#220
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2698
Practice Address - Country:US
Practice Address - Phone:925-935-1933
Practice Address - Fax:925-935-8566
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA371471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice