Healthcare Provider Details

I. General information

NPI: 1275785339
Provider Name (Legal Business Name): DAMON S HUFFMAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7157 ATASCOCITA RD
HUMBLE TX
77346-5014
US

IV. Provider business mailing address

7157 ATASCOCITA RD
HUMBLE TX
77346-5014
US

V. Phone/Fax

Practice location:
  • Phone: 281-852-7874
  • Fax: 281-852-2889
Mailing address:
  • Phone: 281-852-7874
  • Fax: 281-852-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number17670
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: