MEDICARE: DR. DALE RICHARD DUNN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS 3121	TN

General Provider Information

NPI Number	:	1346249497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE RICHARD DUNN DDS

Provider Business Mailing Address
First Line	:	7041 HIGHWAY 70 S
Second Line	:	SUITE #7
City	:	NASHVILLE
State	:	TN
Zip	:	37221-5238
Country	:	US
Telephone Number	:	615-662-2400
Fax Number	:	615-662-3128

Provider Business Practice Location Address
First Line	:	7041 HIGHWAY 70 S
Second Line	:	SUITE #7
City	:	NASHVILLE
State	:	TN
Zip	:	37221-5238
Country	:	US
Telephone Number	:	615-662-2400
Fax Number	:	615-662-3128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/08/2007

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