Healthcare Provider Details

I. General information

NPI: 1114915972
Provider Name (Legal Business Name): ADAM HUHN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2523 6TH AVE S
GREAT FALLS MT
59405-3034
US

IV. Provider business mailing address

2523 6TH AVE S
GREAT FALLS MT
59405-3034
US

V. Phone/Fax

Practice location:
  • Phone: 406-761-3131
  • Fax:
Mailing address:
  • Phone: 406-761-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2273
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: