Provider Demographics
NPI:1275416745
Name:DUNBAR, SONYA P (RDH)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:P
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1839 LANE AVE S STE 104
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-1260
Mailing Address - Country:US
Mailing Address - Phone:904-300-0126
Mailing Address - Fax:877-770-3699
Practice Address - Street 1:1839 LANE AVE S STE 104
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-1260
Practice Address - Country:US
Practice Address - Phone:904-300-0126
Practice Address - Fax:877-770-3699
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH10990124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist