Provider Demographics
NPI:1164568432
Name:HUNTER, TANIA LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:LYNN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TANIA
Other - Middle Name:L
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1020 ANTEBELLUM CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-7096
Mailing Address - Country:US
Mailing Address - Phone:615-824-0020
Mailing Address - Fax:615-828-5441
Practice Address - Street 1:1020 ANTEBELLUM CIR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-7096
Practice Address - Country:US
Practice Address - Phone:615-824-0020
Practice Address - Fax:615-828-5441
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN73301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice