Provider Demographics
NPI:1538232715
Name:HUNT, DAVID NORRIS (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:NORRIS
Last Name:HUNT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 REGENTS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FIRCREST
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6063
Mailing Address - Country:US
Mailing Address - Phone:253-566-3440
Mailing Address - Fax:253-566-5887
Practice Address - Street 1:1401 REGENTS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466-6063
Practice Address - Country:US
Practice Address - Phone:253-566-3440
Practice Address - Fax:253-566-5887
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4937122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4937OtherLICENSE