Hunt, Kyle Tanner
Hunt, Kyle Tanner is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 952 , Jackson MS 39216-4609. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hunt, Kyle Tanner can be contacted via phone (601) 981-3111.Contact Information
Primary practice address
971 Lakeland Dr Ste 952
Jackson MS 39216-4609
Phone: (601) 981-3111
Fax: (601) 981-3112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3374-06 | Mississippi |
Profile Details
| NPI number | 1437370988 |
|---|---|
| LBN Legal business name | Hunt, Kyle Tanner |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Aug 9th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437370988 | NPPES |
| Mississippi | Other | 302I191017 | PTAN MEDICARE NUMBER |
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