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Provider Information for 1396298048

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. PAUL HUFFAKER DMD

Gender: MALE

Individual NPI: 1396298048

Calendar   Last Updated:  2017-05-04
  Certification Date: 

Details

Name Value
NPI 1396298048
Enumeration Date 2016-07-29
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 134 S MAIN ST SUITE #4
CENTERVILLE, UT 84014-2814
United States

Phone: 385-245-8247 | Fax:
View Map External Link
Primary Practice Address 134 S MAIN ST SUITE #4
CENTERVILLE, UT 84014-2814
United States

Phone: 385-245-8247 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist UT 9829657-9922