Provider Demographics
NPI:1225390644
Name:THOMAS J. HUNT DMD PC
Entity Type:Organization
Organization Name:THOMAS J. HUNT DMD PC
Other - Org Name:HUNT FAMILY DENISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-997-7181
Mailing Address - Street 1:950 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-9451
Mailing Address - Country:US
Mailing Address - Phone:541-997-7181
Mailing Address - Fax:541-997-7183
Practice Address - Street 1:950 9TH STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439
Practice Address - Country:US
Practice Address - Phone:541-997-7181
Practice Address - Fax:541-997-7183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR52491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty