Dunn, Paul Randolph
Dunn, Paul Randolph is an individual health care provider with primary practice located at 2116 Hinkle St Se , Albuquerque NM 87102-4930. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dunn, Paul Randolph can be contacted via phone (505) 843-7493.Contact Information
Primary practice address
2116 Hinkle St Se
Albuquerque NM 87102-4930
Phone: (505) 843-7493
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD1812 | New Mexico |
| Dental Providers / General Practice | 1223G0001X | 14923 | Texas |
Profile Details
| NPI number | 1073504171 |
|---|---|
| LBN Legal business name | Dunn, Paul Randolph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073504171 | NPPES |
| New Mexico | MEDICAID | 0084916 |
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