Healthcare Provider Details

I. General information

NPI: 1407704414
Provider Name (Legal Business Name): MICHELE LYNN DUNKLE RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 EASTERLY PKWY
STATE COLLEGE PA
16801-6300
US

IV. Provider business mailing address

233 EASTERLY PKWY
STATE COLLEGE PA
16801-6300
US

V. Phone/Fax

Practice location:
  • Phone: 814-238-6336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH012684L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: