William John Dunbar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10295 Issued in MN

Practice address

1126 Ives Ave N
Glencoe, MN 55336-2226

Phone

(320) 864-3215

Fax

(320) 864-2768

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gwen Regnier DMD PLLC

  • Dental Clinic/Center
  • Glencoe, MN
  • NPI 1821604935
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598839508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 IVES AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362226",
            "telephone_number": "320-864-3215",
            "fax_number": "320-864-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 IVES AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362226",
            "telephone_number": "320-864-3215",
            "fax_number": "320-864-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day by Day Recovery Center, LLC
• Patricia Jeanette De Loyal, PA-C
• Amy Dittmer, PHARM.D.
• Doctors Inc
• Prasuna Gnana Dubagunta, M.D.
• Carol Jo Eggersgluess, NP-C
• Pamela Jean Ellis, APRN,CRNA
• Abby Marie Evans, CNP
• Andrew Cole Fiecke
• Forever Smiles, PLLC

• General Practice Dentistry in Glencoe, MN
• Providers in Glencoe, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.