Healthcare Provider Details

I. General information

NPI: 1336096049
Provider Name (Legal Business Name): HUNT DENTAL SCS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24220 JEFFERSON AVE
SAINT CLAIR SHORES MI
48080-1588
US

IV. Provider business mailing address

24220 JEFFERSON AVE
SAINT CLAIR SHORES MI
48080-1588
US

V. Phone/Fax

Practice location:
  • Phone: 586-772-7373
  • Fax: 586-772-4238
Mailing address:
  • Phone: 586-772-7373
  • Fax: 586-772-4238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER HUNT
Title or Position: OWNER
Credential: DDS
Phone: 313-690-0189