| Terry W Huff Dds Sc | |
|
6402 Sheridan Rd Kenosha WI 53143 | |
| (262) 654-2261 | |
| (262) 657-6933 |
| Full Name | Terry W Huff Dds Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6402 Sheridan Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Terry William Huff (PRESIDENT) |
| Authorized Official Contact | 2626542261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry W Huff Dds Sc 6402 Sheridan Rd Kenosha WI 53143 Ph: (262) 654-2261 | Terry W Huff Dds Sc 6402 Sheridan Rd Kenosha WI 53143 Ph: (262) 654-2261 |
| NPI Number | 1871566257 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871566257 | NPI | - | NPPES |
| 33675300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5000910015 (Wisconsin) | Primary |
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