Individual
MR. JON GREGORY DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BARRETT ST, PROVIDENCE, KY 42450
(270) 667-7073
(270) 667-7073
Mailing address
PO BOX 295, 110 BARRETT ST, PROVIDENCE, KY 42450
(270) 667-7073
(270) 667-7073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5893
KY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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