Provider Demographics
NPI:1760415061
Name:DUFNER, BRIAN K (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:K
Last Name:DUFNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5830 SW HUNTOON ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2374
Mailing Address - Country:US
Mailing Address - Phone:785-232-1985
Mailing Address - Fax:785-232-1769
Practice Address - Street 1:5830 SW HUNTOON ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2374
Practice Address - Country:US
Practice Address - Phone:785-232-1985
Practice Address - Fax:785-232-1769
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS602151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice