Provider Demographics
NPI:1548226327
Name:DUNGY, LINDEN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDEN
Middle Name:K
Last Name:DUNGY
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 1:511 ELM ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-1126
Mailing Address - Country:US
Mailing Address - Phone:651-463-2880
Mailing Address - Fax:651-463-2840
Practice Address - Street 1:511 ELM ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-1126
Practice Address - Country:US
Practice Address - Phone:651-463-2880
Practice Address - Fax:651-463-2840
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice