Provider Demographics
NPI:1265729735
Name:THOMAS, HUNTER JAMES (DDS)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:JAMES
Last Name:THOMAS
Suffix:
Gender:M
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:PO BOX 599
Mailing Address - Street 2:508 HILLCREST
Mailing Address - City:BULL SHOALS
Mailing Address - State:AR
Mailing Address - Zip Code:72619-0599
Mailing Address - Country:US
Mailing Address - Phone:870-445-4040
Mailing Address - Fax:870-445-3216
Practice Address - Street 1:508 HILLCREST ST
Practice Address - Street 2:
Practice Address - City:BULL SHOALS
Practice Address - State:AR
Practice Address - Zip Code:72619-3109
Practice Address - Country:US
Practice Address - Phone:870-445-4040
Practice Address - Fax:870-445-3216
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3824122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist