Provider Demographics
NPI:1629106307
Name:HUNGER, A. DOUGLAS III (DDS)
Entity Type:Individual
Prefix:DR
First Name:A.
Middle Name:DOUGLAS
Last Name:HUNGER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9990 SUSQUEHANNA TRL S
Mailing Address - Street 2:SPRINGFIELD PROFESSIONAL CENTER
Mailing Address - City:GLEN ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:17327-8493
Mailing Address - Country:US
Mailing Address - Phone:717-235-5073
Mailing Address - Fax:717-235-3772
Practice Address - Street 1:9990 SUSQUEHANNA TRL S
Practice Address - Street 2:SPRINGFIELD PROFESSIONAL CENTER
Practice Address - City:GLEN ROCK
Practice Address - State:PA
Practice Address - Zip Code:17327-8493
Practice Address - Country:US
Practice Address - Phone:717-235-5073
Practice Address - Fax:717-235-3772
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017485L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice