Provider Demographics
NPI:1336279751
Name:NUNN, LEE BASS (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:BASS
Last Name:NUNN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W LEXINGTON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-2596
Mailing Address - Country:US
Mailing Address - Phone:336-884-0800
Mailing Address - Fax:336-884-0801
Practice Address - Street 1:200 W LEXINGTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2596
Practice Address - Country:US
Practice Address - Phone:336-884-0800
Practice Address - Fax:336-884-0801
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice