Individual
DR. STEPHEN RICHARD GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 HAL GREER BLVD, HUNTINGTON, WV 25701-3701
(304) 523-1245
(304) 523-0217
Mailing address
911 HAL GREER BLVD, HUNTINGTON, WV 25701-3701
(304) 523-1245
(304) 523-0217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2613
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0861429
—
OH
05
—
4002191000
—
WV
Enumeration date
12/19/2006
Last updated
07/09/2007
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