Provider Demographics
NPI:1376105072
Name:STEPHEN H DUNN DDS PA
Entity Type:Organization
Organization Name:STEPHEN H DUNN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:352-873-2000
Mailing Address - Street 1:7555 SW HIGHWAY 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-7725
Mailing Address - Country:US
Mailing Address - Phone:352-873-2000
Mailing Address - Fax:352-873-2002
Practice Address - Street 1:7555 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-7725
Practice Address - Country:US
Practice Address - Phone:352-873-2000
Practice Address - Fax:352-873-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1841658093OtherNPI
FL1285018465OtherNPI
FLNPIOther1164500278
FL1659752400OtherNPI