Healthcare Provider Details

I. General information

NPI: 1912316423
Provider Name (Legal Business Name): HUFFMAN & KREGER FAMILY DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4346 STARKEY RD SUITE 3
ROANOKE VA
24018-0605
US

IV. Provider business mailing address

4346 STARKEY ROAD SW SUITE 3
ROANOKE VA
24018
US

V. Phone/Fax

Practice location:
  • Phone: 540-989-3321
  • Fax: 540-989-9753
Mailing address:
  • Phone: 540-989-3321
  • Fax: 540-989-9753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RICHARD D HUFFMAN JR.
Title or Position: DENTIST
Credential: DDS
Phone: 540-989-3321