Provider Demographics
NPI:1497862221
Name:DUNN, DARLA MAE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DARLA
Middle Name:MAE
Last Name:DUNN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WEXFORD BAYNE ROAD
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8461
Mailing Address - Country:US
Mailing Address - Phone:724-935-6590
Mailing Address - Fax:724-935-6590
Practice Address - Street 1:250 WEXFORD BAYNE ROAD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8461
Practice Address - Country:US
Practice Address - Phone:724-935-6590
Practice Address - Fax:724-935-6590
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022351L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA180096OtherUNITED CONCORDIA