| Huckabee Dental | |
|
505 W Southlake Blvd Southlake TX 76092-6145 | |
| (817) 329-4746 | |
| (817) 488-3611 |
| Full Name | Huckabee Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 505 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Timothy M Huckabee (OWNER) |
| Authorized Official Contact | 8173294746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huckabee Dental 505 W Southlake Blvd Southlake TX 76092-6145 Ph: (817) 329-4746 | Huckabee Dental 505 W Southlake Blvd Southlake TX 76092-6145 Ph: (817) 329-4746 |
| NPI Number | 1386890648 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386890648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15508 (Texas) | Primary |
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