Provider Demographics
NPI:1790666113
Name:HERITAGE HUNT DENTAL
Entity type:Organization
Organization Name:HERITAGE HUNT DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-754-5800
Mailing Address - Street 1:7100 HERITAGE VILLAGE PLZ STE 101
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3066
Mailing Address - Country:US
Mailing Address - Phone:703-754-5800
Mailing Address - Fax:703-754-8119
Practice Address - Street 1:7100 HERITAGE VILLAGE PLZ STE 101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3066
Practice Address - Country:US
Practice Address - Phone:703-754-5800
Practice Address - Fax:703-754-8119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty