Provider Demographics
NPI:1427274703
Name:HUNT, SHIRLEY BREWER (DMD)
Entity type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:BREWER
Last Name:HUNT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 89
Mailing Address - Street 2:200 WEST RESERVOIR
Mailing Address - City:CENTRAL CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42330
Mailing Address - Country:US
Mailing Address - Phone:270-754-3131
Mailing Address - Fax:270-754-3133
Practice Address - Street 1:200 W RESERVOIR
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:KY
Practice Address - Zip Code:42330
Practice Address - Country:US
Practice Address - Phone:270-754-3131
Practice Address - Fax:270-754-3133
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist