Provider Demographics
NPI:1659471753
Name:HUGGINS, SVETLANA A (DDS)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:A
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 E WARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3735
Mailing Address - Country:US
Mailing Address - Phone:702-897-1120
Mailing Address - Fax:702-897-4624
Practice Address - Street 1:2435 E WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3735
Practice Address - Country:US
Practice Address - Phone:702-897-1120
Practice Address - Fax:702-897-4624
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV48191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice