Healthcare Provider Details
I. General information
NPI: 1801131578
Provider Name (Legal Business Name): DUNN & SCHREIBER ORTHODONTICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2012
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7051 HALCYON SUMMIT DRIVE
MONTGOMERY AL
36117
US
IV. Provider business mailing address
7051 HALCYON SUMMIT DRIVE
MONTGOMERY AL
36117
US
V. Phone/Fax
- Phone: 334-270-1044
- Fax: 334-270-7889
- Phone: 334-270-1044
- Fax: 334-270-7889
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | 4226 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
SARAH
KENDALL
DUNN
Title or Position: PRESIDENT
Credential: DMD, MS
Phone: 334-270-1044