Provider Demographics
NPI:1710031216
Name:DOUGLAS A HUHN DMD PA
Entity Type:Organization
Organization Name:DOUGLAS A HUHN DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:ANTON
Authorized Official - Last Name:HUHN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-422-6281
Mailing Address - Street 1:1100 SOUTH ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1249
Mailing Address - Country:US
Mailing Address - Phone:407-422-6281
Mailing Address - Fax:407-422-2361
Practice Address - Street 1:1100 SOUTH ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1249
Practice Address - Country:US
Practice Address - Phone:407-422-6281
Practice Address - Fax:407-422-2361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty