Provider Demographics
NPI:1386651529
Name:HUNT, TYLER J (DDS)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:J
Last Name:HUNT
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:PO BOX 7
Mailing Address - Street 2:51 EAST MAIN
Mailing Address - City:WELLSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84339
Mailing Address - Country:US
Mailing Address - Phone:435-245-6035
Mailing Address - Fax:435-245-6036
Practice Address - Street 1:51 EAST MAIN
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84339
Practice Address - Country:US
Practice Address - Phone:435-245-6035
Practice Address - Fax:435-245-6036
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT520694099221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice