Provider Demographics
NPI:1144219247
Name:HUNTER, WILLIAM L III (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:HUNTER
Suffix:III
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 1:1324 TROTWOOD AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401
Mailing Address - Country:US
Mailing Address - Phone:931-381-0340
Mailing Address - Fax:931-388-2818
Practice Address - Street 1:1324 TROTWOOD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-381-0340
Practice Address - Fax:931-388-2818
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS26791223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3220948Medicaid
TN2003831OtherBLUE CROSS
TN2003831OtherBLUE CROSS
T73994Medicare UPIN