Provider Demographics
NPI:1356400766
Name:DUNN, MELVIN RICHARD (DDS)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:RICHARD
Last Name:DUNN
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:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:ST FRANCIS
Mailing Address - State:KS
Mailing Address - Zip Code:67756
Mailing Address - Country:US
Mailing Address - Phone:785-332-2203
Mailing Address - Fax:
Practice Address - Street 1:300 N COLLEGE
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:KS
Practice Address - Zip Code:67756
Practice Address - Country:US
Practice Address - Phone:785-332-2062
Practice Address - Fax:785-332-3109
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6082122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist