Provider Demographics
NPI:1013039510
Name:HUGGARD, JANET (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:HUGGARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:OUELLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1600 PROVIDENCE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76707
Mailing Address - Country:US
Mailing Address - Phone:254-313-4200
Mailing Address - Fax:254-313-4326
Practice Address - Street 1:1600 PROVIDENCE DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76707-2261
Practice Address - Country:US
Practice Address - Phone:254-313-4900
Practice Address - Fax:254-313-4531
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15867122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist