MEDICARE: DR. HUNTER BROOKS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6979	LA
2	122300000X	Dentist	D.0006670-C1	AL
3	1223G0001X	General Practice Dentistry	11887	TN

General Provider Information

NPI Number	:	1366004186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUNTER BROOKS DDS

Provider Business Mailing Address
First Line	:	2505 21ST AVE S FL 5
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-5652
Country	:	US
Telephone Number	:	337-852-5040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 21ST AVE S FL 5
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-5652
Country	:	US
Telephone Number	:	337-852-5040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2019
Last Update Date	:	08/14/2025

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