Provider Demographics
NPI:1649395757
Name:HUFF & LUNSFORD, P.A.
Entity Type:Organization
Organization Name:HUFF & LUNSFORD, P.A.
Other - Org Name:RICHARD E. HUFF, D.D.S., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:352-787-3310
Mailing Address - Street 1:1018 W DIXIE AVE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6310
Mailing Address - Country:US
Mailing Address - Phone:352-787-3310
Mailing Address - Fax:352-787-5927
Practice Address - Street 1:1018 W DIXIE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-6310
Practice Address - Country:US
Practice Address - Phone:352-787-3310
Practice Address - Fax:352-787-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty