Provider Demographics
NPI:1326182809
Name:DUNN, HAROLD (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:DUNN
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 1:112 PINE PLZ
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3719
Mailing Address - Country:US
Mailing Address - Phone:409-385-7758
Mailing Address - Fax:409-385-5570
Practice Address - Street 1:112 PINE PLZ
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3719
Practice Address - Country:US
Practice Address - Phone:409-385-7758
Practice Address - Fax:409-385-5570
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist