Healthcare Provider Details

I. General information

NPI: 1861861247
Provider Name (Legal Business Name): HUFFMEISTER DENTAL PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13827 CYPRESS NORTH HOUSTON RD
CYPRESS TX
77429-3250
US

IV. Provider business mailing address

13827 CYPRESS NORTH HOUSTON RD
CYPRESS TX
77429-3250
US

V. Phone/Fax

Practice location:
  • Phone: 281-477-6000
  • Fax:
Mailing address:
  • Phone: 281-477-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number26215
License Number StateTX

VIII. Authorized Official

Name: JOSPEH A NORMAN
Title or Position: OWNER
Credential: DDS
Phone: 281-477-6000