Individual provider · Type 1 NPI
Carson Theodore Hunt, DDS
Periodontics · San Diego, CA
NPI number
1104710755
Active
Practice location
4076 3rd Ave Ste 201
San Diego, CA 92103-2129
Mailing address
2469 Purdue Ave Apt 203
Los Angeles, CA 90064-5111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 111448 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
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About NPI 1104710755
Carson Theodore Hunt, DDS's National Provider Identifier is 1104710755, issued on Jun 6, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Diego, CA. The record was last updated on Jun 6, 2025.