Provider Demographics
NPI:1821255100
Name:DAWN T. HUNT D.M.D. P.C. WILLIAM S. HUNT D.M.D. P.C.
Entity Type:Organization
Organization Name:DAWN T. HUNT D.M.D. P.C. WILLIAM S. HUNT D.M.D. P.C.
Other - Org Name:HUNT DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:757-868-6651
Mailing Address - Street 1:358 WYTHE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-1926
Mailing Address - Country:US
Mailing Address - Phone:757-868-6651
Mailing Address - Fax:757-868-8238
Practice Address - Street 1:358 WYTHE CREEK RD
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-1926
Practice Address - Country:US
Practice Address - Phone:757-868-6651
Practice Address - Fax:757-868-8238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA73061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA331346OtherBLUE CROSS BLUE SHIELD
VA331345OtherBLUE CROSS BLUE SHIELD
VA878409OtherUNITED CONCORDIA