MEDICARE: DR. DONALD W. HUNT JR. D.M.D., M.S.D.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	0550	SC

General Provider Information

NPI Number	:	1538221064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD W. HUNT JR. D.M.D., M.S.D.

Provider Business Mailing Address
First Line	:	2409 WADE HAMPTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1145
Country	:	US
Telephone Number	:	864-268-2800
Fax Number	:	864-292-0442

Provider Business Practice Location Address
First Line	:	2409 WADE HAMPTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1145
Country	:	US
Telephone Number	:	864-268-2800
Fax Number	:	864-292-0442

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	02/23/2012

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