Provider Demographics
NPI:1467671917
Name:HUNT, JANICE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:A
Last Name:HUNT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5821
Mailing Address - Country:US
Mailing Address - Phone:203-255-0468
Mailing Address - Fax:203-259-3560
Practice Address - Street 1:69 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5821
Practice Address - Country:US
Practice Address - Phone:203-255-0468
Practice Address - Fax:203-259-3560
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT64771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice