Provider Demographics
NPI:1457433989
Name:HUBER, JAYSON HAMBLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAYSON
Middle Name:HAMBLIN
Last Name:HUBER
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 1:14845 BAUER DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3641
Mailing Address - Country:US
Mailing Address - Phone:928-446-8144
Mailing Address - Fax:
Practice Address - Street 1:NMLPDC - NPDS COMPREHENSIVE DENTISTRY 8955 WOOD RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-1134
Practice Address - Country:US
Practice Address - Phone:301-295-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice