Active NPIIndividual providerSole proprietor

Dr. Larry G Dunham, DMD

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1154539484
Practice location
14 Concord Ave, #101, Cambridge, MA 02138-2356
Fax
617-492-1613
Last updated
July 8, 2007

Larry Gene Dunham is a Dentist, General Practice based in Cambridge, MA. Larry Gene Dunham practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Larry Gene Dunham is 1154539484 and holds a License No. 15679 (MA). The current practice location address for Larry Gene Dunham is 14 Concord Ave, #101, Cambridge, MA 02138-2356 and can be reached out via phone at 617-661-3634 and via fax at 617-492-1613.

Provider Profile Details

NPI Number
1154539484
Provider Name
Larry Gene Dunham
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
14 Concord Ave, #101, Cambridge, MA 02138-2356
Phone Number
617-661-3634
Fax Number
617-492-1613
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Concord Ave
#101
Cambridge, MA 02138-2356
Zip
02138-2356
Phone Number
617-661-3634
Fax Number
617-492-1613
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
14 Concord Ave
#101
Cambridge, MA 02138-2356
City
Cambridge
State
MA
Zip
02138-2356
Phone Number
617-661-3634
Fax Number
617-492-1613

License Information

License Number
15679
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Larry G Dunham, DMD?

The NPI number of Dr. Larry G Dunham, DMD is 1154539484. It was assigned on May 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Larry G Dunham, DMD?

Dr. Larry G Dunham, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 15679.

Where does Dr. Larry G Dunham, DMD practice?

The practice location is 14 Concord Ave, #101, Cambridge, MA 02138-2356. The office can be reached at 617-661-3634 (phone) or 617-492-1613 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154539484 directly on the NPPES registry website.

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