Healthcare Provider Details

I. General information

NPI: 1619518057
Provider Name (Legal Business Name): RACHEL KATHERINE HUFFMAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E SOMERSET CHURCH RD
SOMERSET KY
42503-4968
US

IV. Provider business mailing address

221 E SOMERSET CHURCH RD
SOMERSET KY
42503-4968
US

V. Phone/Fax

Practice location:
  • Phone: 606-451-1448
  • Fax:
Mailing address:
  • Phone: 606-451-1448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10272
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number10272
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: