Provider Demographics
NPI:1508248717
Name:HUGGINS-CHALLENGER, HEREWARD RUSSELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEREWARD
Middle Name:RUSSELL
Last Name:HUGGINS-CHALLENGER
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 1:320 NORTHEAST BLVD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2424
Mailing Address - Country:US
Mailing Address - Phone:910-863-2377
Mailing Address - Fax:910-863-2555
Practice Address - Street 1:9096 CLEVELAND RD STE 1
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-9786
Practice Address - Country:US
Practice Address - Phone:919-694-0694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10080122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist