Provider Demographics
NPI:1295045565
Name:DUNN, MARY ANN (RDH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ANN
Last Name:DUNN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 RIO VISTA DR.
Mailing Address - Street 2:C/O FTHC - DENTAL
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406
Mailing Address - Country:US
Mailing Address - Phone:775-423-3634
Mailing Address - Fax:775-423-4342
Practice Address - Street 1:1001 RIO VISTA DR.
Practice Address - Street 2:C/O FTHC - DENTAL
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406
Practice Address - Country:US
Practice Address - Phone:775-423-3634
Practice Address - Fax:775-423-4342
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV101144124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist