Provider Demographics
NPI:1023227212
Name:DUNSON, TYRONE II (DDS)
Entity type:Individual
Prefix:DR
First Name:TYRONE
Middle Name:
Last Name:DUNSON
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2446 LILLIAN MILLER PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-2903
Mailing Address - Country:US
Mailing Address - Phone:940-566-4942
Mailing Address - Fax:940-381-0815
Practice Address - Street 1:2446 LILLIAN MILLER PKWY
Practice Address - Street 2:STE B
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-2903
Practice Address - Country:US
Practice Address - Phone:940-566-4942
Practice Address - Fax:940-381-0815
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice