Individual
DR. JOHN H UNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005928
—
VA
05
—
01-0003121
—
VA
01
—
463654
ANTHEM BC/BS
VA
01
—
C06778
GROUP PTAN
VA
Enumeration date
07/11/2006
Last updated
08/25/2015
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