Provider Demographics
NPI:1760537047
Name:DUNLAP, HOWARD DAVID (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DAVID
Last Name:DUNLAP
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 1:8988 S SHERIDAN RD
Mailing Address - Street 2:D-1
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5051
Mailing Address - Country:US
Mailing Address - Phone:918-481-3256
Mailing Address - Fax:
Practice Address - Street 1:8988 S SHERIDAN RD
Practice Address - Street 2:D-1
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5051
Practice Address - Country:US
Practice Address - Phone:918-481-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK43561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice