Provider Demographics
NPI:1396367090
Name:WEBER, HUNTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:
Last Name:WEBER
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 1:9409 E 57TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2379
Mailing Address - Country:US
Mailing Address - Phone:501-766-6477
Mailing Address - Fax:
Practice Address - Street 1:2501 DALLAS ST STE 224
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1036
Practice Address - Country:US
Practice Address - Phone:303-399-1488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00000002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist