Provider Demographics
NPI:1477264067
Name:HUNT, LESLIE MCCLANAHAN (RDH)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:MCCLANAHAN
Last Name:HUNT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 EMILY DR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3532
Mailing Address - Country:US
Mailing Address - Phone:615-714-5956
Mailing Address - Fax:
Practice Address - Street 1:330 WALLACE RD STE 106
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4981
Practice Address - Country:US
Practice Address - Phone:615-915-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6797124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist