Provider Demographics
NPI:1215009238
Name:HUNT, SARAH S (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:S
Last Name:HUNT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:S
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4552 N. CLOVERDALE RD.
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713
Mailing Address - Country:US
Mailing Address - Phone:208-376-2726
Mailing Address - Fax:208-376-6401
Practice Address - Street 1:4552 N CLOVERDALE ROAD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-2714
Practice Address - Country:US
Practice Address - Phone:208-376-2726
Practice Address - Fax:208-376-6401
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD3886122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist