Provider Demographics
NPI:1679000764
Name:NORTH HUNTER DENTAL
Entity Type:Organization
Organization Name:NORTH HUNTER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANSONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-647-7330
Mailing Address - Street 1:35106 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-0934
Mailing Address - Country:US
Mailing Address - Phone:248-647-7330
Mailing Address - Fax:248-647-2048
Practice Address - Street 1:35106 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-0934
Practice Address - Country:US
Practice Address - Phone:248-647-7330
Practice Address - Fax:248-647-2048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty