BRENT WADE DUNAVIN DDS, NPI 1003963075
Dentist in GREENWOOD, AR
Last Updated on : Jul 09,2007
About BRENT WADE DUNAVIN (NPI 1003963075)
BRENT WADE DUNAVIN is a Dentist provider in GREENWOOD, United States. His medical specialization is Dentist with a focus in General Practice.
1003963075 is NPI number of BRENT WADE DUNAVIN.
BRENT WADE DUNAVIN's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 2842. This taxonomy code refers to Dentist.
BRENT WADE DUNAVIN has more than 15 years of experience.
BRENT WADE DUNAVIN current practice location address is PO BOX 488, GREENWOOD, AR. BRENT WADE DUNAVIN can be reached out via phone at 479-996-4181 .
You can also correspond with BRENT WADE DUNAVIN through mail at mailing address 7 W CENTER STREET, GREENWOOD, AR, United States. Mailing address contact number is 479-996-4181.
The enumeration date of BRENT WADE DUNAVIN is 04-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1003963075 NPI Information
Basic NPI information of BRENT WADE DUNAVIN (NPI 1003963075) is provided below.
| Name | BRENT WADE DUNAVIN |
|---|---|
| National Provider Id (NPI) | 1003963075 |
| Entity Type | Individual |
| Gender | M |
| Credential | DDS |
| Practice Address | PO BOX 488,
GREENWOOD, AR, United States |
| Practice Telephone | 479-996-4181 |
| Practice Fax Number | |
| Mailing Address | 7 W CENTER STREET ,
GREENWOOD, AR, United States |
| Mailing Telephone | 479-996-4181 |
| Mailing Fax Number | |
| Enumeration Date | 04-Jan-2007 |
| Last Updated Date | 09-Jul-2007 |
BRENT WADE DUNAVIN (NPI 1003963075) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | Dentist, General Practice | 2842 | AR |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116565608 | MEDICAID (05) | AR |
BRENT WADE DUNAVIN (NPI 1003963075) Office Location
Office location of BRENT WADE DUNAVIN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1003963075 | BRENT WADE DUNAVIN | Dentist, General Practice | PO BOX 488,
GREENWOOD, AR, United States |
04-Jan-2007 |
| 1154692481 | MCL THERAPY LLC | Clinic/Center, Physical Therapy | 250 OLD HACKETT RD,
GREENWOOD, AR, United States |
18-Jan-2012 |
| 1194096339 | EVAN LEE ROWE | Chiropractor | 3512 EVANS RD,
GREENWOOD, AR, United States |
19-Jan-2012 |
| 1376874859 | MARILYN KAY RANKIN | Registered Nurse | 3802 STURGEON RD,
GREENWOOD, AR, United States |
22-Jan-2010 |
| 1285812255 | LISA JAN BOHNE CLAY | Psychologist | 2711 SHADOW LAKE DR,
GREENWOOD, AR, United States |
01-Feb-2008 |
| 1730235268 | ANGELA MARASCALCO SKIDMORE | Dentist, General Practice | PO BOX 1415,
GREENWOOD, AR, United States |
26-Jan-2007 |
| 1619018793 | ROBERT GARY MACK | Contractor | 2712 EDGEWATER DRIVE,
GREENWOOD, AR, United States |
09-Feb-2007 |
| 1700342011 | HEALTH DEPOT PHARMACIES, LLC | Pharmacy, Long Term Care Pharmacy | 1530 W CENTER ST,
GREENWOOD, AR, United States |
12-Feb-2019 |
| 1407356678 | HEALTH-WISE PHARMACY PLLC | Pharmacy, Community/Retail Pharmacy | PO BOX 347,
MANSFIELD, AR, United States |
14-Feb-2018 |
| 1205961117 | STEWART DRUGS | Pharmacy | 202 S COKER ST,
GREENWOOD, AR, United States |
22-Feb-2007 |
| 1215902358 | THOMAS CHARLES BONIN | Family Medicine | 459 WHITETAIL LN,
GREENWOOD, AR, United States |
22-Feb-2006 |
| 1619006871 | SHAREE DAVIDSON | Speech-Language Pathologist, | PO BOX 1028,
GREENWOOD, AR, United States |
05-Mar-2007 |
| 1811168768 | SPARKS REGIONAL MEDICAL CENTER | Durable Medical Equipment & Medical Supplies | PO BOX 1824,
FORT SMITH, AR, United States |
19-Mar-2008 |
| 1720104870 | PATRICK BRIAN MCCLAIN | Physical Therapist | 515 FORREST PARK WAY,
GREENWOOD, AR, United States |
21-Mar-2007 |
| 1366784779 | RICHARD EARL PARKS | Pharmacist | 705 W CENTER ST,
PHARMACY GREENWOOD, AR, United States |
24-Mar-2013 |
| 1215056429 | PAULA JEAN MCCANN | Contractor | 1004 CROOKED CREEK RD,
GREENWOOD, AR, United States |
28-Mar-2007 |
| 1114988649 | JANA PSCHIER | Speech-Language Pathologist, | 3232 WATSON RD,
GREENWOOD, AR, United States |
02-Apr-2006 |
| 1578524005 | KARRIE TALLAKSON | Occupational Therapist | 2620 SHADOW LAKE DR,
GREENWOOD, AR, United States |
02-Apr-2006 |
| 1265850697 | DUSTIN BROWNFIELD | Pharmacist | PO BOX 1477,
GREENWOOD, AR, United States |
02-Apr-2014 |
| 1861635476 | BRIAN KEITH MOY | Physical Therapist | 924 BELL RD,
GREENWOOD, AR, United States |
13-Apr-2009 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1003963075?1003963075 is the NPI number of BRENT WADE DUNAVIN.
What is the specialty for BRENT WADE DUNAVIN?The Specialty of BRENT WADE DUNAVIN is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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