MEDICARE: DR. LAURA JEAN HUYETT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	60026	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003804048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA JEAN HUYETT DDS

Provider Business Mailing Address
First Line	:	4627 SHAWNEE DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-3648
Country	:	US
Telephone Number	:	913-677-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	4627 SHAWNEE DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-3648
Country	:	US
Telephone Number	:	913-677-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	09/11/2009

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