Provider Demographics
NPI:1033281118
Name:HUNTER, NIESJE (DMD)
Entity type:Individual
Prefix:DR
First Name:NIESJE
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:NIESJE
Other - Middle Name:HUNTER
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:20 N GRAND AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1755
Mailing Address - Country:US
Mailing Address - Phone:859-441-1900
Mailing Address - Fax:859-441-1900
Practice Address - Street 1:20 N GRAND AVE STE 10
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1755
Practice Address - Country:US
Practice Address - Phone:859-441-1900
Practice Address - Fax:859-441-1900
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7282122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist