Individual provider · NPI-1
Susan Dunn, DDS
Dentist, General Practice · Muskogee, OK
NPI number1811099211
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1811099211
- Entity type
- Individual (NPI-1)
- Name
- Susan Dunn
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4925 | OK | Yes |
Practice location
3503 Chandler RdMuskogee, OK 74403
Phone 918-687-3224 · Fax 918-687-3218
Mailing address
3503 Chandler RdMuskogee, OK 74403
Phone 918-687-3224 · Fax 918-687-3218
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