Provider Demographics
NPI:1043552631
Name:HUNTER, JESSIE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESSIE
Middle Name:A
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 N ALMA DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3337
Mailing Address - Country:US
Mailing Address - Phone:972-727-0737
Mailing Address - Fax:972-727-5583
Practice Address - Street 1:201 N ALMA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3337
Practice Address - Country:US
Practice Address - Phone:972-727-0737
Practice Address - Fax:972-727-5583
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX217801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry