Provider Demographics
NPI:1144384843
Name:HUNT, J. TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:TODD
Last Name:HUNT
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 1:3579 HENRY ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-6720
Mailing Address - Country:US
Mailing Address - Phone:231-739-1050
Mailing Address - Fax:231-739-1052
Practice Address - Street 1:3579 HENRY ST
Practice Address - Street 2:SUITE 160
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-6720
Practice Address - Country:US
Practice Address - Phone:231-739-1050
Practice Address - Fax:231-739-1052
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INL9559251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics