Provider Demographics
NPI:1871625863
Name:JUNN, DAVID (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:JUNN
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W WAUGH ST STE D
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8918
Mailing Address - Country:US
Mailing Address - Phone:706-279-2933
Mailing Address - Fax:706-279-0019
Practice Address - Street 1:1200 W WAUGH ST STE D
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8918
Practice Address - Country:US
Practice Address - Phone:706-279-2933
Practice Address - Fax:706-279-0019
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0117381223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics