Healthcare Provider Details

I. General information

NPI: 1831285675
Provider Name (Legal Business Name): COURTNEY ANN DUNN D.D.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY ANN FRANCIS D.D.S.

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 N DYSART ROAD SUITE 150
LITCHFIELD PARK AZ
85340
US

IV. Provider business mailing address

5220 N DYSART ROAD SUITE 150
LITCHFIELD PARK AZ
85340
US

V. Phone/Fax

Practice location:
  • Phone: 623-536-4939
  • Fax: 623-536-4877
Mailing address:
  • Phone: 623-536-4939
  • Fax: 623-536-4877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD6690
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number2901018283
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: