| Darren S Huddleston Dmd Pc | |
|
1035 Ne 6th Street Suite A Grants Pass OR 97526 | |
| (541) 476-8788 | |
| (541) 471-0400 |
| Full Name | Darren S Huddleston Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1035 Ne 6th Street, Grants Pass, Oregon |
| Authorized Official Name and Position | Darren S Huddleston (OWNER) |
| Authorized Official Contact | 5414768788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darren S Huddleston Dmd Pc 1035 Ne 6th Street Suite A Grants Pass OR 97526 Ph: (541) 476-8788 | Darren S Huddleston Dmd Pc 1035 Ne 6th Street Suite A Grants Pass OR 97526 Ph: (541) 476-8788 |
| NPI Number | 1326039025 |
|---|---|
| Provider Enumeration Date | 11/02/2005 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326039025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7749 (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | 7749 (Oregon) | Primary |
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