Provider Demographics
NPI:1720040975
Name:DUNNE, JAMES JUDE (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JUDE
Last Name:DUNNE
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 1:990 STEWART AVE
Mailing Address - Street 2:SUITE LL 60
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4822
Mailing Address - Country:US
Mailing Address - Phone:516-481-7353
Mailing Address - Fax:516-481-4785
Practice Address - Street 1:990 STEWART AVE
Practice Address - Street 2:SUITE LL 60
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4822
Practice Address - Country:US
Practice Address - Phone:516-481-7353
Practice Address - Fax:516-481-4785
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0379041223G0001X
FL100029122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice