Provider Demographics
NPI:1902469380
Name:HUNT, ANN MARIE (RDH)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:HUNT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 226TH ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:NE
Mailing Address - Zip Code:68347-1804
Mailing Address - Country:US
Mailing Address - Phone:402-467-2487
Mailing Address - Fax:
Practice Address - Street 1:4200 LUCILE DR STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-6032
Practice Address - Country:US
Practice Address - Phone:402-483-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-21
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1520124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist