Provider Demographics
NPI:1508847765
Name:DUNNING, DENNIS WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WAYNE
Last Name:DUNNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 SPOTSYLVANIA PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7766
Mailing Address - Country:US
Mailing Address - Phone:540-361-2922
Mailing Address - Fax:540-361-2927
Practice Address - Street 1:4604 SPOTSYLVANIA PKWY STE 310
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7766
Practice Address - Country:US
Practice Address - Phone:540-361-2922
Practice Address - Fax:540-361-2927
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301065606207RC0000X
NMMD2019-0091207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4713515Medicaid
MI110226340OtherRAILROAD MEDICARE
MI4713515Medicaid
MIG58197Medicare UPIN