# JASON A DUNVILLE DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285204545
- **Authorized official:** JASON A DUNVILLE DDS (DOCTOR)
- **Authorized official phone:** (573) 635-2571

## Contact information

- **Practice address:** 3237 W TRUMAN BLVD STE 201, JEFFERSON CITY, MO 65109-6944
- **Practice address phone:** (573) 635-2571
- **Mailing address:** 3237 W TRUMAN BLVD STE 201, JEFFERSON CITY, MO 65109-6944
- **Mailing address phone:** (573) 635-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/29/2021
- **Last updated:** 06/29/2021