Provider Demographics
NPI:1881633907
Name:HUESMAN, JANE E (DDS)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:HUESMAN
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 1:17 LAUREL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-9261
Mailing Address - Country:US
Mailing Address - Phone:859-635-7952
Mailing Address - Fax:
Practice Address - Street 1:121 E MCMILLAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2606
Practice Address - Country:US
Practice Address - Phone:513-721-2444
Practice Address - Fax:513-721-2398
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH185441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice