Provider Demographics
NPI:1831316538
Name:HUNN, NICOLE HURBAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:HURBAN
Last Name:HUNN
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 1:4026 PLATT DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1633
Mailing Address - Country:US
Mailing Address - Phone:504-469-7250
Mailing Address - Fax:
Practice Address - Street 1:3108 W ESPLANADE AVE N
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1750
Practice Address - Country:US
Practice Address - Phone:504-838-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA54091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice