Provider Demographics
NPI:1043645195
Name:HUFFINES OAKES DENTAL CARE
Entity Type:Organization
Organization Name:HUFFINES OAKES DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFFINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-885-1555
Mailing Address - Street 1:2708 OLD ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3150
Mailing Address - Country:US
Mailing Address - Phone:615-885-1555
Mailing Address - Fax:615-883-1789
Practice Address - Street 1:2708 OLD ELM HILL PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3150
Practice Address - Country:US
Practice Address - Phone:615-885-1555
Practice Address - Fax:615-883-1789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty