Provider Demographics
NPI:1184317968
Name:MITCHELL, HUNTER (DMD)
Entity type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:
Last Name:MITCHELL
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 1:300 ARBOR DR STE 5
Mailing Address - Street 2:
Mailing Address - City:DRY RIDGE
Mailing Address - State:KY
Mailing Address - Zip Code:41035-9489
Mailing Address - Country:US
Mailing Address - Phone:598-823-0111
Mailing Address - Fax:
Practice Address - Street 1:300 ARBOR DR STE 5
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035-9489
Practice Address - Country:US
Practice Address - Phone:859-447-0940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10954122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist