Healthcare Provider Details

I. General information

NPI: 1902247877
Provider Name (Legal Business Name): JOSEPH HUFF DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7915 HIGHWAY 165
COLUMBIA LA
71418-3327
US

IV. Provider business mailing address

7915 HIGHWAY 165
COLUMBIA LA
71418-3327
US

V. Phone/Fax

Practice location:
  • Phone: 318-649-6451
  • Fax: 318-649-0428
Mailing address:
  • Phone: 318-649-6451
  • Fax: 318-649-0428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6380
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: