Provider Demographics
NPI:1376703637
Name:HUNTER, BRIAN M (DDS)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:M
Last Name:HUNTER
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 1:100 EILEEN DONDERO FOLEY AVE,
Mailing Address - Street 2:SUITE 320
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-431-7605
Mailing Address - Fax:603-433-5381
Practice Address - Street 1:100 EILEEN DONDERO FOLEY AVE,
Practice Address - Street 2:SUITE 320
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-431-7605
Practice Address - Fax:603-433-5381
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NH03739122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program