| Organization Name: | CAROLYN HUNTER, DMD, PC |
| NPI Number: | 1487069720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLYN M HUNTER (OWNER/DENTIST) |
| Mailing Address: | 77 Smithson Dr Cassville |
| State: | MO US |
| Postal Code: | 656250396 |
| Phone Number: | 4178472461 |
| Fax Number: | 4178474005 |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 13991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |