Provider Demographics
NPI:1366004186
Name:BROOKS, HUNTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:
Last Name:BROOKS
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 1:7000 HARRIS HILLS LN APT 411
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3279
Mailing Address - Country:US
Mailing Address - Phone:337-852-5040
Mailing Address - Fax:
Practice Address - Street 1:1932 ALMAVILLE RD STE 105
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-7600
Practice Address - Country:US
Practice Address - Phone:337-852-5040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6979122300000X
ALD.0006670-C1122300000X
TN118871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist