Provider Demographics
NPI:1346418795
Name:JOHN F DUNBAR JR DMD PA
Entity Type:Organization
Organization Name:JOHN F DUNBAR JR DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCABEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-573-9255
Mailing Address - Street 1:1585 SKYLYN DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1034
Mailing Address - Country:US
Mailing Address - Phone:864-573-9255
Mailing Address - Fax:
Practice Address - Street 1:1585 SKYLYN DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1034
Practice Address - Country:US
Practice Address - Phone:864-573-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZA9775Medicaid