MEDICARE: DR. MICHAEL DOUGLAS HUFFER D.M.D.

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	1223E0200X	Endodontics	DN015954	GA
2	122300000X	Dentist	4710	SC

General Provider Information

NPI Number	:	1164737953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DOUGLAS HUFFER D.M.D.

Provider Business Mailing Address
First Line	:	421 EPPERSON RD
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-6637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4508 HOLLY SPRINGS PKWY
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-7461
Country	:	US
Telephone Number	:	770-213-1726
Fax Number	:

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

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	04/13/2026

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