Healthcare Provider Details

I. General information

NPI: 1942571237
Provider Name (Legal Business Name): MICHAEL S DUNBAR ND, LAC, LMBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 SE MAYNARD RD # 204-E
CARY NC
27511-3615
US

IV. Provider business mailing address

4928 BIRCHLEAF DR
RALEIGH NC
27606-9356
US

V. Phone/Fax

Practice location:
  • Phone: 919-809-9355
  • Fax: 919-516-9973
Mailing address:
  • Phone: 919-809-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1060
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND778
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number19359
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number18580
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: