Provider Demographics
NPI:1790744134
Name:JUDY H. HUEY, DDS, PC
Entity Type:Organization
Organization Name:JUDY H. HUEY, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-767-0132
Mailing Address - Street 1:10290 N 92ND ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4522
Mailing Address - Country:US
Mailing Address - Phone:480-767-0132
Mailing Address - Fax:480-767-0083
Practice Address - Street 1:10290 N 92ND ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4522
Practice Address - Country:US
Practice Address - Phone:480-767-0132
Practice Address - Fax:480-767-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6498122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty