Huckans, Phillip Richard
Huckans, Phillip Richard is an individual health care provider with primary practice located at 2109 N Pinos Altos Rd , Silver City NM 88061-7866. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Huckans, Phillip Richard can be contacted via phone (505) 534-1133.Contact Information
Primary practice address
2109 N Pinos Altos Rd
Silver City NM 88061-7866
Phone: (505) 534-1133
Fax: (505) 534-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD1898 | New Mexico |
Profile Details
| NPI number | 1053304238 |
|---|---|
| LBN Legal business name | Huckans, Phillip Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053304238 | NPPES |
| New Mexico | MEDICAID | Q2382 |
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