Provider Demographics
NPI:1255487484
Name:HUEY DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:HUEY DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:GAINES
Authorized Official - Last Name:HUEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-485-4095
Mailing Address - Street 1:75 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094
Mailing Address - Country:US
Mailing Address - Phone:859-485-4095
Mailing Address - Fax:859-485-4149
Practice Address - Street 1:75 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094
Practice Address - Country:US
Practice Address - Phone:859-485-4095
Practice Address - Fax:859-485-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty