Individual
ETHAN DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2241 STATE ST, NEW ALBANY, IN 47150-4948
(812) 945-5100
Mailing address
150 MCCAULEY RD, WILMORE, KY 40390-9553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013920A
IN
1223G0001X
General Practice Dentistry
9968
KY
Other
Enumeration date
09/07/2017
Last updated
10/05/2022
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