Healthcare Provider Details

I. General information

NPI: 1043645195
Provider Name (Legal Business Name): HUFFINES OAKES DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 OLD ELM HILL PIKE
NASHVILLE TN
37214-3150
US

IV. Provider business mailing address

2708 OLD ELM HILL PIKE
NASHVILLE TN
37214-3150
US

V. Phone/Fax

Practice location:
  • Phone: 615-885-1555
  • Fax: 615-883-1789
Mailing address:
  • Phone: 615-885-1555
  • Fax: 615-883-1789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY HUFFINES
Title or Position: ADMINISTRATOR
Credential:
Phone: 615-885-1555