MEDICARE: DR. DOUGLAS EDWARD HUNTER D.D.S.

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	1223G0001X	General Practice Dentistry	DS3692	TN

General Provider Information

NPI Number	:	1407805427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS EDWARD HUNTER D.D.S.

Provider Business Mailing Address
First Line	:	4905 NOLENSVILLE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5411
Country	:	US
Telephone Number	:	615-832-4979
Fax Number	:	615-832-4910

Provider Business Practice Location Address
First Line	:	4905 NOLENSVILLE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5411
Country	:	US
Telephone Number	:	615-832-4979
Fax Number	:	615-832-4910

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	07/08/2007

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