Provider Demographics
NPI:1891747457
Name:HUNT, WILLIAM HAZE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HAZE
Last Name:HUNT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E TRADE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3131
Mailing Address - Country:US
Mailing Address - Phone:828-245-3206
Mailing Address - Fax:828-245-3207
Practice Address - Street 1:127 E TRADE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3131
Practice Address - Country:US
Practice Address - Phone:828-245-3206
Practice Address - Fax:828-245-3207
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC44941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8994323Medicaid