CARSON THEODORE HUNT DDS
NPI 1104710755
Dentist - Periodontics in San Diego, CA

Active since June 06, 2025
4076 3RD AVE STE 201, SAN DIEGO, CA 92103(619) 298-2322 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carson Theodore Hunt Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARSON THEODORE HUNT DDS (NPI 1104710755) is an individual periodontics provider in San Diego, California, licensed in California (111448) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104710755
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameCARSON THEODORE HUNTCredential: DDS
Location Address4076 3RD AVE STE 201San Diego, CA 92103-2129
Mailing Address2469 Purdue Ave Apt 203Los Angeles, CA 90064-5111 · (530) 966-1745
Sole ProprietorYes
Enumeration DateJune 6, 2025
NPPES CertifiedJune 6, 2025
NPI 1104710755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 111448
Definition
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.
4076 3RD AVE STE 201, San Diego, CA 92103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
4076 3RD AVE STE 201
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carson Hunt's NPI number?

The NPI number for Carson Hunt is 1104710755. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Where is Carson Hunt located?

Carson Hunt practices at 4076 3rd Ave Ste 201, San Diego, CA 92103. The listed phone number is (619) 298-2322.

What is Carson Hunt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Carson Hunt was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.