Provider Demographics
NPI:1912945734
Name:HUNTER, DALE OWEN II (DMD)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:OWEN
Last Name:HUNTER
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 NW ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-3536
Mailing Address - Country:US
Mailing Address - Phone:931-455-2326
Mailing Address - Fax:931-455-7776
Practice Address - Street 1:603 NW ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-3536
Practice Address - Country:US
Practice Address - Phone:931-455-2326
Practice Address - Fax:931-455-7776
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2786OtherTN LICENSE