Provider Demographics
NPI:1679551519
Name:HAUGHT, STEPHEN RHOADS (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:RHOADS
Last Name:HAUGHT
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 1:919 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-5554
Mailing Address - Country:US
Mailing Address - Phone:620-343-7275
Mailing Address - Fax:620-342-5376
Practice Address - Street 1:919 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-5554
Practice Address - Country:US
Practice Address - Phone:620-343-7275
Practice Address - Fax:620-342-5376
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS48371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics