Provider Demographics
NPI:1801295910
Name:NUNU, JULIE S (DMD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:S
Last Name:NUNU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27115 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-2900
Mailing Address - Country:US
Mailing Address - Phone:586-771-5880
Mailing Address - Fax:586-771-5882
Practice Address - Street 1:27115 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2900
Practice Address - Country:US
Practice Address - Phone:586-771-5880
Practice Address - Fax:586-771-5882
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021350122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist