Provider Demographics
NPI:1811409493
Name:HUNTER PIERMONT DDS & ASSOCIATES PA
Entity Type:Organization
Organization Name:HUNTER PIERMONT DDS & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:H
Authorized Official - Last Name:PIERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-960-3525
Mailing Address - Street 1:101 BAYHAM DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-6310
Mailing Address - Country:US
Mailing Address - Phone:773-960-3525
Mailing Address - Fax:
Practice Address - Street 1:4558 CAPITAL BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-4537
Practice Address - Country:US
Practice Address - Phone:919-861-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10140261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental