Provider Demographics
NPI:1003031741
Name:HUNTER, SANDRA BETH (DDS)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:BETH
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 COUNCIL TREE AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-6330
Mailing Address - Country:US
Mailing Address - Phone:970-673-7321
Mailing Address - Fax:
Practice Address - Street 1:2720 COUNCIL TREE AVE STE 260
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6330
Practice Address - Country:US
Practice Address - Phone:970-817-0549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000094421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice