Provider Demographics
NPI:1669801486
Name:HUHN, JOSHUA ROY (DMD)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ROY
Last Name:HUHN
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 1:1501 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-2129
Mailing Address - Country:US
Mailing Address - Phone:724-684-3370
Mailing Address - Fax:
Practice Address - Street 1:1501 MARION AVE
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062
Practice Address - Country:US
Practice Address - Phone:724-684-3370
Practice Address - Fax:724-684-6810
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039656122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028838130006Medicaid