Provider Demographics
NPI:1154324937
Name:DUNAWAY, LIGE FRANK III (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIGE
Middle Name:FRANK
Last Name:DUNAWAY
Suffix:III
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 1:121 REPRESENTATIVE ROW
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3833
Mailing Address - Country:US
Mailing Address - Phone:337-264-1890
Mailing Address - Fax:337-264-1903
Practice Address - Street 1:121 REPRESENTATIVE ROW
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3833
Practice Address - Country:US
Practice Address - Phone:337-264-1890
Practice Address - Fax:337-264-1903
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA40671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA721312634OtherTAX ID NUMBER