Healthcare Provider Details

I. General information

NPI: 1114017381
Provider Name (Legal Business Name): JENNIFER SCHOOLS HUFFMAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER SCHOOLS HUFFMAN D.D.S.

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1589 PORT REPUBLIC RD STE 2
HARRISONBURG VA
22801-3517
US

IV. Provider business mailing address

1589 PORT REPUBLIC RD STE 2
ROCKINGHAM VA
22801-3517
US

V. Phone/Fax

Practice location:
  • Phone: 540-432-1600
  • Fax: 540-433-6627
Mailing address:
  • Phone: 540-432-1600
  • Fax: 540-433-6627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8603
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0401008603
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401008603
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: