Provider Demographics
NPI:1629075346
Name:DUNN, FRANK JERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JERRY
Last Name:DUNN
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 1:1075 KINWEST PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3407
Mailing Address - Country:US
Mailing Address - Phone:972-506-9688
Mailing Address - Fax:972-506-9321
Practice Address - Street 1:1075 KINWEST PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3407
Practice Address - Country:US
Practice Address - Phone:972-506-9688
Practice Address - Fax:972-506-9321
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist