Organization Active NPI

Dr. Gwendolyn Dunn D.D.S, M.S. P.a

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baltimore, MD
National Provider Identifier
1033408950
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR. GWENDOLYN DUNN D.D.S, M.S. P.A
Practice address
2406 Garrison Blvd
Baltimore, MD 21216-2222
Phone
(410) 542-9780
Fax
(410) 542-0211
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gwendolyn DunnNPI 1124164215
Title
Owner
Phone
(410) 542-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2406 Garrison Blvd
Baltimore, MD 21216-2222

Mailing address

2406 Garrison Blvd
Baltimore, MD 21216-2222
Phone (410) 542-9780

Other identifiers 1

IdentifierTypeStateIssuer
951044364MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1033408950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162222",
            "telephone_number": "410-542-9780",
            "fax_number": "410-542-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162222",
            "telephone_number": "410-542-9780",
            "fax_number": "410-542-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GWENDOLYN DUNN D.D.S, M.S. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-542-9780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951044364",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.