Healthcare Provider Details
I. General information
NPI: 1831290394
Provider Name (Legal Business Name): CHRISTOPHER BARRETT HUFF D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3708 S MAIN ST SUITE C
BLACKSBURG VA
24060-7007
US
IV. Provider business mailing address
3708 S MAIN ST SUITE C
BLACKSBURG VA
24060-7007
US
V. Phone/Fax
- Phone: 540-552-4781
- Fax: 540-552-5037
- Phone: 540-552-4781
- Fax: 540-552-5037
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 0401007975 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: