Provider Demographics
NPI:1285010660
Name:WINDSONG DENTAL ARTS, PC
Entity Type:Organization
Organization Name:WINDSONG DENTAL ARTS, PC
Other - Org Name:DR DAVID R HUNSAKER
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:REGINALD
Authorized Official - Last Name:HUNSAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:928-775-5276
Mailing Address - Street 1:7890 E FLORENTINE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-1204
Mailing Address - Country:US
Mailing Address - Phone:928-775-5276
Mailing Address - Fax:
Practice Address - Street 1:7890 E FLORENTINE RD
Practice Address - Street 2:SUITE B
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-1204
Practice Address - Country:US
Practice Address - Phone:928-775-5276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental