Provider Demographics
NPI:1548224173
Name:HUBAND, MICHAEL LINN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LINN
Last Name:HUBAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:520NORTH 12TH ST, PO BOX 980566
Mailing Address - Street 2:VCU DENTAL SCHOOL, DEPT. OF GENERAL PRACTICE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0566
Mailing Address - Country:US
Mailing Address - Phone:804-828-2977
Mailing Address - Fax:
Practice Address - Street 1:521 N 11TH ST
Practice Address - Street 2:VCU FACULTY PRACTICE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0566
Practice Address - Country:US
Practice Address - Phone:804-828-3368
Practice Address - Fax:804-828-2185
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010078251223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics