Provider Demographics
NPI:1689876187
Name:HUEFNER, NORMAN FREDERICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:FREDERICK
Last Name:HUEFNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30131 TOWN CENTER DR STE 160
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2040
Mailing Address - Country:US
Mailing Address - Phone:949-495-6322
Mailing Address - Fax:949-495-0642
Practice Address - Street 1:30131 TOWN CENTER DR STE 160
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2040
Practice Address - Country:US
Practice Address - Phone:949-495-6322
Practice Address - Fax:949-495-0642
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA277671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice