| Organization Name: | HUNTINGBURG FAMILY DENTISTRY |
| NPI Number: | 1417310566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA LUBBEHUSEN (SCHEDULING & INSURANCE) |
| Mailing Address: | 517 E 5th St Huntingburg |
| State: | IN US |
| Postal Code: | 475421004 |
| Phone Number: | 8126834100 |
| Fax Number: | 8126834110 |
| NPI Enumeration Date: | 04/05/2016 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |