Healthcare Provider Details

I. General information

NPI: 1093027401
Provider Name (Legal Business Name): DR JAMES DUNN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S MOCK ST
PRAIRIE GROVE AR
72753-3146
US

IV. Provider business mailing address

PO BOX 8091
FAYETTEVILLE AR
72703-0001
US

V. Phone/Fax

Practice location:
  • Phone: 479-422-7212
  • Fax: 479-345-5376
Mailing address:
  • Phone: 479-422-7212
  • Fax: 479-345-5376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES R DUNN
Title or Position: SOLE OWNER
Credential: DO
Phone: 479-422-7212