Provider Demographics
NPI:1144308255
Name:DUNN, S KENDALL (DMD MS)
Entity type:Individual
Prefix:DR
First Name:S
Middle Name:KENDALL
Last Name:DUNN
Suffix:
Gender:F
Credentials:DMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 CARMICHAEL WAY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3694
Mailing Address - Country:US
Mailing Address - Phone:334-270-1044
Mailing Address - Fax:334-270-7889
Practice Address - Street 1:1344 CARMICHAEL WAY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3694
Practice Address - Country:US
Practice Address - Phone:334-270-1044
Practice Address - Fax:334-270-7889
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics