# HUNTER C. JOH, DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811283518
- **Authorized official:** HUNTER CROOM JOH DDS (PRESIDENT)
- **Authorized official phone:** (910) 352-3161

## Contact information

- **Practice address:** 123 BRYAN STREET, KENANSVILLE, NC 28349-0826
- **Practice address phone:** (910) 352-3161
- **Mailing address:** PO BOX 826, KENANSVILLE, NC 28349-0826
- **Mailing address phone:** (910) 352-3161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7293 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 8688 | NC | — |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 06/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89902JW | — | NC |