Provider Demographics
NPI:1407310824
Name:HUFFMAN SMILES PLLC
Entity Type:Organization
Organization Name:HUFFMAN SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABHINAV
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-369-6775
Mailing Address - Street 1:14623 HAMPTON GREEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-5789
Mailing Address - Country:US
Mailing Address - Phone:832-369-6775
Mailing Address - Fax:
Practice Address - Street 1:24110 FM 2100 RD
Practice Address - Street 2:
Practice Address - City:HUFFMAN
Practice Address - State:TX
Practice Address - Zip Code:77336-2636
Practice Address - Country:US
Practice Address - Phone:832-369-6775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty