Healthcare Provider Details

I. General information

NPI: 1740334242
Provider Name (Legal Business Name): CLETE F HUHN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 SOUTH ORANGE AVE
ORLANDO FL
32806-1249
US

IV. Provider business mailing address

1100 S ORANGE AVE
ORLANDO FL
32806-1249
US

V. Phone/Fax

Practice location:
  • Phone: 407-422-6282
  • Fax: 407-422-2361
Mailing address:
  • Phone: 407-422-6282
  • Fax: 407-422-2361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3144
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: