Provider Demographics
NPI:1962397281
Name:HARRISON, HUNTER LEE GUY (DDS)
Entity type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:LEE GUY
Last Name:HARRISON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 HENRY RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-2219
Mailing Address - Country:US
Mailing Address - Phone:240-481-1066
Mailing Address - Fax:
Practice Address - Street 1:6000 EXECUTIVE BLVD STE 525
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3814
Practice Address - Country:US
Practice Address - Phone:301-530-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist