MEDICARE: DR. SHELLEY ANN HUCEK 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	1223G0001X	General Practice Dentistry	30019177	OH

General Provider Information

NPI Number	:	1750582839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELLEY ANN HUCEK DDS

Provider Business Mailing Address
First Line	:	1535 OLD HENDERSON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3643
Country	:	US
Telephone Number	:	614-442-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 OLD HENDERSON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3643
Country	:	US
Telephone Number	:	614-442-0022
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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