Provider Demographics
NPI:1689290686
Name:TAYLOR HUNT DMD PLLC
Entity type:Organization
Organization Name:TAYLOR HUNT DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:928-536-7158
Mailing Address - Street 1:155 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SNOWFLAKE
Mailing Address - State:AZ
Mailing Address - Zip Code:85937-5211
Mailing Address - Country:US
Mailing Address - Phone:928-536-7158
Mailing Address - Fax:928-536-2640
Practice Address - Street 1:155 W CENTER ST
Practice Address - Street 2:
Practice Address - City:SNOWFLAKE
Practice Address - State:AZ
Practice Address - Zip Code:85937-5211
Practice Address - Country:US
Practice Address - Phone:928-536-7158
Practice Address - Fax:928-536-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental