Eric Stephen Dunaway, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37433 Issued in TX

Practice address

104 Spanish Oaks TRL
Glen Rose, TX 76043-4104

Phone

(254) 897-3143

NPI assigned

Jul 9, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• GBCC Dental PLLC

  • Dentist
  • Glen Rose, TX
  • NPI 1942687264
  NPD
• GBCC Dental PLLC

  • General Practice Dentistry
  • Glen Rose, TX
  • NPI 1407397144
  NPD (past)
• Glen Rose Family Dental

  • Preferred Provider Organization
  • Glen Rose, TX
  • NPI 1003351271
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1619548732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 BRIDGE WATER LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632833",
            "telephone_number": "720-345-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SPANISH OAKS TRL",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434104",
            "telephone_number": "254-897-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Bluebonnet St",
            "address_purpose": "LOCATION",
            "city": "Glen Rose",
            "state": "TX",
            "postal_code": "760435013",
            "country_code": "US",
            "telephone_number": "254-898-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "ERIC",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Barnes, Crna,PC
• Cynthia N Daniels, NP-C
• Michael L Davis, M.D.
• Valerie Michelle Day, M.S., CCC-SLP
• Dino Pediatrics PLLC
• Jessica Durham, MS, LPC
• Emilia Zeller LLC
• Ess Region II LLC
• Sonia Evans, SLP
• Kali Jan Fehler, PTA

• General Practice Dentistry in Glen Rose, TX
• Providers in Glen Rose, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.