Provider Demographics
NPI:1003953993
Name:HUUSKO, TERRANCE ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:ARTHUR
Last Name:HUUSKO
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 1:3901 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-3001
Mailing Address - Country:US
Mailing Address - Phone:218-262-5847
Mailing Address - Fax:
Practice Address - Street 1:3901 1ST AVE
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-3001
Practice Address - Country:US
Practice Address - Phone:218-262-5847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNMN8014122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist