Provider Demographics
NPI:1275785339
Name:HUFFMAN, DAMON S (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:S
Last Name:HUFFMAN
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 1:7157 ATASCOCITA RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-5014
Mailing Address - Country:US
Mailing Address - Phone:281-852-7874
Mailing Address - Fax:281-852-2889
Practice Address - Street 1:7157 ATASCOCITA RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-5014
Practice Address - Country:US
Practice Address - Phone:281-852-7874
Practice Address - Fax:281-852-2889
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice