Provider Demographics
NPI:1134116395
Name:ROBERT J. DUNNING D.D.S., P.C.
Entity Type:Organization
Organization Name:ROBERT J. DUNNING D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THADDEUS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MARCINISZYN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-842-3220
Mailing Address - Street 1:191 GUY PARK AVE
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-3254
Mailing Address - Country:US
Mailing Address - Phone:518-842-3220
Mailing Address - Fax:518-843-0830
Practice Address - Street 1:191 GUY PARK AVE
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-3254
Practice Address - Country:US
Practice Address - Phone:518-842-3220
Practice Address - Fax:518-843-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty