Provider Demographics
NPI:1912316423
Name:HUFFMAN & KREGER FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:HUFFMAN & KREGER FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-989-3321
Mailing Address - Street 1:4346 STARKEY ROAD SW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018
Mailing Address - Country:US
Mailing Address - Phone:540-989-3321
Mailing Address - Fax:540-989-9753
Practice Address - Street 1:4346 STARKEY RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0605
Practice Address - Country:US
Practice Address - Phone:540-989-3321
Practice Address - Fax:540-989-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty