Marie Elizabeth Hunter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14094 Issued in MI

Practice address

1117 N Saginaw St
Holly, MI 48442-1354

Phone

(248) 634-5300

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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.

• Holly Dental Care PC

  • General Practice Dentistry
  • Holly, MI
  • NPI 1336270362

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720205024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N SAGINAW ST",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421354",
            "telephone_number": "248-634-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N SAGINAW ST",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421354",
            "telephone_number": "248-634-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Urgent Care PLLC
• Holly Vision Clinic PC
• Holly Vision Source
• Hannah Leigh Houtz
• Timothy Lewis Hubbard
• Randy Lynn Hunter, D.D.S.
• Alexzandrea Israel, DOULA
• Amy Jacobs
• Jill Jenks, LMT
• Pamelia Jobes

• All providers in Holly, MI
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.