Provider Demographics
NPI:1548269798
Name:HUNSAKER, HARRY STEPHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:STEPHEN
Last Name:HUNSAKER
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 1:418 CORAL PL
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1531
Mailing Address - Country:US
Mailing Address - Phone:361-814-9536
Mailing Address - Fax:
Practice Address - Street 1:4635 EVERHART RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2741
Practice Address - Country:US
Practice Address - Phone:361-851-1506
Practice Address - Fax:361-851-1345
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice