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NPI Code Detail

MEDICARE: DR. CHERYL E HUBBLE DDS

MEDICARE: DR. CHERYL E HUBBLE 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
11223G0001XGeneral Practice Dentistry12844TX

General Provider Information

NPI Number : 1437290459
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL E HUBBLE DDS
Provider Business Mailing Address
First Line : 3407 SOFTRAIN
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78259-3618
Country : US
Telephone Number : 210-495-3985
Fax Number :
Provider Business Practice Location Address
First Line : 2950 THOUSAND OAKS DR
Second Line : #16
City : SAN ANTONIO
State : TX
Zip : 78247-3361
Country : US
Telephone Number : 210-496-5422
Fax Number : 210-490-2388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHERYL E HUBBLE DDS” Practice Location

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