Provider Demographics
NPI:1588808091
Name:HUGGETT, DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HUGGETT
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 1:1062 OAK FOREST DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-3489
Mailing Address - Country:US
Mailing Address - Phone:608-781-4992
Mailing Address - Fax:608-781-4976
Practice Address - Street 1:1062 OAK FOREST DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-3489
Practice Address - Country:US
Practice Address - Phone:608-781-4992
Practice Address - Fax:608-781-4976
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice