Provider Demographics
NPI:1205178308
Name:HUNTER, KENDRA LYNETTE (DMD)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:LYNETTE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:KENDRA
Other - Middle Name:LYNETTE
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:9276 COLLINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-4278
Mailing Address - Country:US
Mailing Address - Phone:706-341-7579
Mailing Address - Fax:
Practice Address - Street 1:1190 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-3665
Practice Address - Country:US
Practice Address - Phone:706-322-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023904122300000X
GADN0157751223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No122300000XDental ProvidersDentist