Provider Demographics
NPI:1336230721
Name:DUNN, STEPHEN GEORGE (DMD)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GEORGE
Last Name:DUNN
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 1:1408 EAST CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203
Mailing Address - Country:US
Mailing Address - Phone:412-431-6631
Mailing Address - Fax:412-431-6297
Practice Address - Street 1:1408 E CARSON ST
Practice Address - Street 2:145 BROWNSVILLE RD
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203
Practice Address - Country:US
Practice Address - Phone:412-431-6631
Practice Address - Fax:412-431-6297
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0266Z6L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice