Provider Demographics
NPI:1811077589
Name:DUNSTAN, HILARY I (DDS)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:I
Last Name:DUNSTAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 N CURTIS ROAD
Mailing Address - Street 2:#240
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1258
Mailing Address - Country:US
Mailing Address - Phone:208-376-6307
Mailing Address - Fax:208-376-9011
Practice Address - Street 1:1070 N CURTIS ROAD
Practice Address - Street 2:#240
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1258
Practice Address - Country:US
Practice Address - Phone:208-376-6307
Practice Address - Fax:208-376-9011
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-3715-EN1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics