Provider Demographics
NPI:1801023452
Name:CHARVET, HUNTER LYNN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:LYNN
Last Name:CHARVET
Suffix:JR
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 1:2300 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6216
Mailing Address - Country:US
Mailing Address - Phone:504-834-6504
Mailing Address - Fax:504-828-6145
Practice Address - Street 1:2300 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-6216
Practice Address - Country:US
Practice Address - Phone:504-834-6504
Practice Address - Fax:504-828-6145
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA59611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice