Provider Demographics
NPI:1023046257
Name:HUNTER, W ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:W
Middle Name:ROBERT
Last Name:HUNTER
Suffix:
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 1:1419 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3003
Mailing Address - Country:US
Mailing Address - Phone:580-256-3379
Mailing Address - Fax:580-254-5759
Practice Address - Street 1:1419 MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3003
Practice Address - Country:US
Practice Address - Phone:580-256-3373
Practice Address - Fax:580-254-5759
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice