Provider Demographics
NPI:1720121791
Name:HUTCHENS, LUTHER HILL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUTHER
Middle Name:HILL
Last Name:HUTCHENS
Suffix:JR
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 1:544 FIDDLER'S RIDGE DR.
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28512
Mailing Address - Country:US
Mailing Address - Phone:252-247-5708
Mailing Address - Fax:252-247-5708
Practice Address - Street 1:200 DOCTORS DR STE N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6308
Practice Address - Country:US
Practice Address - Phone:910-577-1315
Practice Address - Fax:910-577-1078
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31191223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics