Provider Demographics
NPI:1114913696
Name:HUNLEY, ALLEN LARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:LARRY
Last Name:HUNLEY
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 1:2939 ESSARY RD
Mailing Address - Street 2:STE 2
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-2404
Mailing Address - Country:US
Mailing Address - Phone:865-687-1886
Mailing Address - Fax:865-687-1877
Practice Address - Street 1:2939 ESSARY RD
Practice Address - Street 2:STE 2
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2404
Practice Address - Country:US
Practice Address - Phone:865-687-1886
Practice Address - Fax:865-687-1877
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS2982122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist