Provider Demographics
NPI:1093931941
Name:DUNSON, BERNEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERNEE
Middle Name:
Last Name:DUNSON
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 1:1100 PEACHTREE ST NE
Mailing Address - Street 2:680
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4501
Mailing Address - Country:US
Mailing Address - Phone:404-897-1699
Mailing Address - Fax:404-897-1599
Practice Address - Street 1:1100 PEACHTREE ST NE
Practice Address - Street 2:680
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4501
Practice Address - Country:US
Practice Address - Phone:404-897-1699
Practice Address - Fax:404-897-1599
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN011069122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist