Provider Demographics
NPI:1427185081
Name:DUNBAR, CHARLES PERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:PERRY
Last Name:DUNBAR
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:PO BOX 443
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-0443
Mailing Address - Country:US
Mailing Address - Phone:828-295-3730
Mailing Address - Fax:
Practice Address - Street 1:568 MOCKINGBIRD LANE
Practice Address - Street 2:
Practice Address - City:BLOWING ROCK
Practice Address - State:NC
Practice Address - Zip Code:28605-0443
Practice Address - Country:US
Practice Address - Phone:828-295-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC70041AMedicare UPIN