Provider Demographics
NPI:1558484477
Name:DUNBAR, ERIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
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 1:401 PENINSULA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKE ALMANOR
Mailing Address - State:CA
Mailing Address - Zip Code:96137-9683
Mailing Address - Country:US
Mailing Address - Phone:530-596-3993
Mailing Address - Fax:
Practice Address - Street 1:401 PENINSULA DR
Practice Address - Street 2:SUITE B
Practice Address - City:LAKE ALMANOR
Practice Address - State:CA
Practice Address - Zip Code:96137-9683
Practice Address - Country:US
Practice Address - Phone:530-596-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice