Provider Demographics
NPI:1902010135
Name:HUNTER, ROBERT BERYL (DMD, MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BERYL
Last Name:HUNTER
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9870 MANGANO LN STE 200
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-6061
Mailing Address - Country:US
Mailing Address - Phone:303-840-7400
Mailing Address - Fax:303-840-7478
Practice Address - Street 1:9870 MANGANO LN STE 200
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-6061
Practice Address - Country:US
Practice Address - Phone:303-840-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO77351223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery