Individual
ETHAN LUCAS GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3821 LORNA RD STE 106, HOOVER, AL 35244-3061
(205) 619-2458
Mailing address
3821 LORNA RD STE 106, HOOVER, AL 35244-3061
(205) 619-2458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007484-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2023
Last updated
06/19/2025
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