MEDICARE: DR. WILLIAM HAZE HUNT 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	4494	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891747457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HAZE HUNT D.D.S.

Provider Business Mailing Address
First Line	:	127 E TRADE ST
Second Line	:	SUITE 100
City	:	FOREST CITY
State	:	NC
Zip	:	28043-3131
Country	:	US
Telephone Number	:	828-245-3206
Fax Number	:	828-245-3207

Provider Business Practice Location Address
First Line	:	127 E TRADE ST
Second Line	:	SUITE 100
City	:	FOREST CITY
State	:	NC
Zip	:	28043-3131
Country	:	US
Telephone Number	:	828-245-3206
Fax Number	:	828-245-3207

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/09/2007

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