Provider Demographics
NPI:1891449781
Name:CROXTON, HUNTER (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:
Last Name:CROXTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WHITLOCK AVE SW STE A
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1971
Mailing Address - Country:US
Mailing Address - Phone:770-428-5959
Mailing Address - Fax:770-421-2168
Practice Address - Street 1:1001 WHITLOCK AVE SW STE A
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1971
Practice Address - Country:US
Practice Address - Phone:770-428-5959
Practice Address - Fax:770-421-2168
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN122787122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist