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General NPI Number Information
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NPI Number | 1205844461
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Entity Type | Organization
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Legal Business Name | DANIEL A. DUNBAR, D.M.D., M.S., P.C.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9225 MANCHESTER RD STE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2640
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Country | US
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Telephone | 314-961-9225
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Fax | 314-961-9339
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Provider Business Mailing Address
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Address Line | 9225 MANCHESTER RD STE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2640
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Country | US
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Telephone | 314-961-9225
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Fax | 314-961-9339
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL ALLAN DUNBAR
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Credential | D.M.D., M.S.
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Telephone | 314-961-9225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 15347
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License Number State | MO
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