Provider Demographics
NPI:1730240870
Name:GUNTER, JOSEPH W (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:GUNTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 DOWNTOWNER BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5401
Mailing Address - Country:US
Mailing Address - Phone:251-471-3381
Mailing Address - Fax:251-471-3383
Practice Address - Street 1:715 DOWNTOWNER BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5401
Practice Address - Country:US
Practice Address - Phone:251-471-3381
Practice Address - Fax:251-471-3383
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0000024556Medicare ID - Type Unspecified
ALT68712Medicare UPIN