Individual
JOE DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 479-6393
(541) 479-6489
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 479-6389
(541) 479-6489
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
6106
AZ
1223D0001X
Public Health Dentistry
Primary
D10947
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758394
—
OR
05
—
883018
—
AZ
Enumeration date
04/02/2007
Last updated
03/05/2019
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