Provider Demographics
NPI:1114330875
Name:HUNT, BRANDON
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:HUNT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13251 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 141
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8572
Mailing Address - Country:US
Mailing Address - Phone:919-872-1000
Mailing Address - Fax:866-613-2127
Practice Address - Street 1:13251 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 141
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8572
Practice Address - Country:US
Practice Address - Phone:919-872-1000
Practice Address - Fax:866-613-2127
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9777122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist