Healthcare Provider Details

I. General information

NPI: 1639856164
Provider Name (Legal Business Name): ANTHONY NELSON NUNEZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 WHITE LN STE C
BAKERSFIELD CA
93304-7285
US

IV. Provider business mailing address

1251 RAY CHARLES BLVD APT 1312
TAMPA FL
33602-3070
US

V. Phone/Fax

Practice location:
  • Phone: 661-214-9655
  • Fax:
Mailing address:
  • Phone: 917-912-8867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN29919
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112839
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: