MEDICARE: DANIEL F. DUNN JR., DMD. P.C.

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		PA

General Provider Information

NPI Number	:	1720180292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL F. DUNN JR., DMD. P.C.

Provider Business Mailing Address
First Line	:	6550 WINDMERE RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17111-6835
Country	:	US
Telephone Number	:	717-545-4679
Fax Number	:	717-763-7818

Provider Business Practice Location Address
First Line	:	3401 HARTZDALE DR
Second Line	:	SUITE 122
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7200
Country	:	US
Telephone Number	:	717-763-9553
Fax Number	:	717-763-7818

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL FRANCIS DUNN JR.
Credential	:	D.M.D.
Telephone Number	:	717-763-9553

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	07/25/2008

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