MEDICARE: DR. MICHAEL JOHN DUNN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS021669L	PA

General Provider Information

NPI Number	:	1235208257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN DUNN D.D.S.

Provider Business Mailing Address
First Line	:	901 CASTLE SHANNON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1603
Country	:	US
Telephone Number	:	412-561-6660
Fax Number	:	412-561-5797

Provider Business Practice Location Address
First Line	:	901 CASTLE SHANNON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1603
Country	:	US
Telephone Number	:	412-561-6660
Fax Number	:	412-561-5797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/08/2007

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