Provider Demographics
NPI:1942548664
Name:HUNT, PETER ROBERT (BDS, MSC, LDSRCS ENG)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ROBERT
Last Name:HUNT
Suffix:
Gender:M
Credentials:BDS, MSC, LDSRCS ENG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4860
Mailing Address - Country:US
Mailing Address - Phone:215-546-9813
Mailing Address - Fax:215-546-9815
Practice Address - Street 1:266 S 21ST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4860
Practice Address - Country:US
Practice Address - Phone:215-546-9813
Practice Address - Fax:215-546-9815
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1222811223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics