Provider Demographics
NPI:1811026255
Name:HUNTER, CAROLINE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:M
Last Name:HUNTER
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 1:201 UPPER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:GOLD HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97525-9518
Mailing Address - Country:US
Mailing Address - Phone:541-324-9847
Mailing Address - Fax:
Practice Address - Street 1:1035 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1298
Practice Address - Country:US
Practice Address - Phone:541-479-6696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND120841223G0001X
WI59181223G0001X
ORD97831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice