Provider Demographics
NPI:1053459164
Name:DUNN, PATRICIA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:DUNN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 VILLAGE DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6728
Mailing Address - Country:US
Mailing Address - Phone:912-882-4040
Mailing Address - Fax:
Practice Address - Street 1:2475 VILLAGE DR
Practice Address - Street 2:SUITE 114
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6728
Practice Address - Country:US
Practice Address - Phone:912-882-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0129851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry