Provider Demographics
NPI:1073762860
Name:DUNSWORTH, MARCUS STEWART (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:STEWART
Last Name:DUNSWORTH
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 1:5580 E 2ND ST
Mailing Address - Street 2:#202
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-3946
Mailing Address - Country:US
Mailing Address - Phone:562-439-0754
Mailing Address - Fax:562-439-7355
Practice Address - Street 1:5580 E 2ND ST
Practice Address - Street 2:#202
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-3946
Practice Address - Country:US
Practice Address - Phone:562-439-0754
Practice Address - Fax:562-439-7355
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADY0339221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice