Dr. Daniel David Dunham
Prosthodontist
Bldg 38717 38th Street Usa Dentac
Ft Gordon
, Georgia 30905-5660
Dr. Daniel David Dunham
Prosthodontist
Bldg 38717 38th Street Usa Dentac
Ft Gordon
, Georgia 30905-5660
(706) 787-2082
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Daniel David Dunham
- Bldg 38717 38th Street Usa Dentac
- Ft Gordon, GA
- Zip : 30905-5660
- Fax : (706) 787-2082
- Phone : (706) 787-6927
Second Address
- Dr. Daniel David Dunham
- Bldg 38717 38th Street Usa Dentac
- Ft Gordon, GA
- Zip : 30905-5660
- Fax : (706) 787-2082
- Phone : (706) 787-6927
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 016478 | MI |
National Provider Identifier
| NPI | 1013996081 |
|---|---|
| Provider Name | Dr. Daniel David Dunham |
| First Address | Ft Gordon, GA 30905-5660 |
| Second Address | Ft Gordon, GA 30905-5660 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2006 |
| Last Update Date | 15/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BD7169712 | FEDERAL DEA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.