Provider Demographics
NPI:1922058809
Name:SUNNERS, JAMES R (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:SUNNERS
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 1:209 W CENTRAL ST
Mailing Address - Street 2:203
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3765
Mailing Address - Country:US
Mailing Address - Phone:508-653-1102
Mailing Address - Fax:508-651-8848
Practice Address - Street 1:209 W CENTRAL ST
Practice Address - Street 2:203
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3765
Practice Address - Country:US
Practice Address - Phone:508-653-1102
Practice Address - Fax:508-651-8848
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA145831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice