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Provider Information for 1528124773

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

DAVID ALLEN HUBBELL D.D.S.

Gender: MALE

Individual NPI: 1528124773

Calendar   Last Updated:  2009-03-27
  Certification Date: 

Details

Name Value
NPI 1528124773
Enumeration Date 2006-12-29
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 3805 MAIN ST STE 114
THE COLONY, TX 75056-2836
United States

Phone: 972-624-0068 | Fax: 972-624-8066
View Map External Link
Primary Practice Address 3805 MAIN ST SUITE 114
THE COLONY, TX 75056-2836
United States

Phone: 972-624-0068 | Fax: 972-624-8066
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other EIN TX 263854722
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 16146