Healthcare Provider Details

I. General information

NPI: 1497868285
Provider Name (Legal Business Name): ROBERT JAMES HUVAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 S WASHINGTON ST 202
NAPERVILLE IL
60540-7959
US

IV. Provider business mailing address

1112 S WASHINGTON ST 202
NAPERVILLE IL
60540-7959
US

V. Phone/Fax

Practice location:
  • Phone: 630-420-9890
  • Fax:
Mailing address:
  • Phone: 630-420-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: