Hunter Maxwell Paul, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

196674 Issued in AK

Practice address

125 W Evergreen Ave Ste 204
Palmer, AK 99645-6908

Phone

(907) 531-3477

NPI assigned

Aug 2, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Dental, LLC

  • Dentist
  • Palmer, AK
  • NPI 1518574052
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1497482293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17112 LAOANA DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W EVERGREEN AVE STE 204",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456908",
            "telephone_number": "907-531-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "HUNTER",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "196674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmer Family Medicine Inc
• Palmer Pain and Headache LLC
• Palmer Senior Citizens Center, Inc.
• Bobbi-Lynn Palmer
• Catherine Marie Palmer, LMT
• Katherine Paulick, PSYD
• Kathryn A Paulson, CCC-SLP
• Kaitlin Peace, MD
• Peaceful Center Occupational Therapy, LLC.
• Amber L Pell

• General Practice Dentistry in Palmer, AK
• Providers in Palmer, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.