Provider Demographics
NPI:1891304838
Name:BERRY, HUNTER ASHLEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:ASHLEY
Last Name:BERRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR BLUFF
Mailing Address - State:VA
Mailing Address - Zip Code:24609-9763
Mailing Address - Country:US
Mailing Address - Phone:276-971-0314
Mailing Address - Fax:
Practice Address - Street 1:107 TAZEWELL AVE
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2250
Practice Address - Country:US
Practice Address - Phone:276-964-7418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401417093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist