Provider Demographics
NPI:1548674930
Name:SMITH, HUNTER ALLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:ALLEN
Last Name:SMITH
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 1:912 OSLER DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6097
Mailing Address - Country:US
Mailing Address - Phone:870-974-1577
Mailing Address - Fax:
Practice Address - Street 1:912 OSLER DR
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4366
Practice Address - Country:US
Practice Address - Phone:870-974-1577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR39861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice