Huckabee, Timothy Michael

Huckabee, Timothy Michael is an individual health care provider with primary practice located at 505 W Southlake Blvd , Southlake TX 76092-6145. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Huckabee, Timothy Michael can be contacted via phone (817) 329-4746.

Contact Information

Primary practice address

505 W Southlake Blvd Southlake TX 76092-6145

Phone: (817) 329-4746

Fax: (817) 488-3611

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	15508	Texas

Profile Details

NPI number	1982768271
LBN Legal business name	Huckabee, Timothy Michael
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 20th, 2006
Last updated	Aug 18th, 2008 - about 16 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1982768271	NPPES
Texas	Other	15508	DENTAL STATE LICENSE

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