Provider Demographics
NPI:1942571237
Name:DUNBAR, MICHAEL S (ND, LAC, LMBT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:DUNBAR
Suffix:
Gender:M
Credentials:ND, LAC, LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4928 BIRCHLEAF DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-9356
Mailing Address - Country:US
Mailing Address - Phone:919-809-9355
Mailing Address - Fax:
Practice Address - Street 1:1310 SE MAYNARD RD # 204-E
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3615
Practice Address - Country:US
Practice Address - Phone:919-809-9355
Practice Address - Fax:919-516-9973
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND778175F00000X
NC19359225700000X
OR18580225700000X
NC1060171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist