Provider Demographics
NPI:1265638563
Name:JUNKIN, ALISON DENISE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:DENISE
Last Name:JUNKIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-4013
Mailing Address - Country:US
Mailing Address - Phone:910-750-1878
Mailing Address - Fax:
Practice Address - Street 1:213 NEWPORT DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-4013
Practice Address - Country:US
Practice Address - Phone:910-750-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2993122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist