Individual
DR. RICHARD MILLER DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2639 W STATE ROAD 434, LONGWOOD, FL 32779-4878
(407) 862-1870
(407) 682-7004
Mailing address
2855 W. SR 434, SUITE 1011, LONGWOOD, FL 32779-4878
(407) 862-1870
(407) 682-7004
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN6776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-3226904
WORKS UNDER TID #
FL
01
—
553680
UNITED CONCORDIA PROVIDER
FL
01
—
86838
BLUE CROSS BLUE SHEILD #
FL
01
—
9006776
DELTA DENTAL PROVIDER #
FL
Enumeration date
07/20/2006
Last updated
09/29/2010
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