Michael A. Hunt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035555 Issued in PA

Practice address

9 S Dartmouth Dr
Building 1 Suite 2
Marshalls Creek, PA 18335-9900

Phone

(570) 223-5630

Fax

(570) 223-5635

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225118367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLDE MILL RUN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608698",
            "telephone_number": "570-223-5630",
            "fax_number": "570-223-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S DARTMOUTH DR",
            "address_2": "BUILDING 1 SUITE 2",
            "city": "MARSHALLS CREEK",
            "state": "PA",
            "postal_code": "183359900",
            "telephone_number": "570-223-5630",
            "fax_number": "570-223-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Waller Wade

• All providers in Marshalls Creek, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.