Healthcare Provider Details

I. General information

NPI: 1225351059
Provider Name (Legal Business Name): JAMES WILLIAM HUFFMAN II D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 GEORGE WASHINGTON WAY
RICHLAND WA
99352-3446
US

IV. Provider business mailing address

1207 GEORGE WASHINGTON WAY
RICHLAND WA
99352-3446
US

V. Phone/Fax

Practice location:
  • Phone: 509-946-4143
  • Fax: 509-946-3899
Mailing address:
  • Phone: 509-946-4143
  • Fax: 509-946-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE00005580
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: