Provider Demographics
NPI:1366538365
Name:HUNT, KIRK E (DDS)
Entity type:Individual
Prefix:DR
First Name:KIRK
Middle Name:E
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 1:740 SPAANS DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-8607
Mailing Address - Country:US
Mailing Address - Phone:209-745-2929
Mailing Address - Fax:209-745-4420
Practice Address - Street 1:740 SPAANS DR
Practice Address - Street 2:SUITE 1
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-8607
Practice Address - Country:US
Practice Address - Phone:209-745-2929
Practice Address - Fax:209-745-4420
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA194371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice