James Mark Huntsman, D.M.D.
Individual provider Active NPI Dentist · Scottsville, KY
NPI 1083763734 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083763734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4123 (KY)
- Practice address
- 199 W Main St
Scottsville, KY 42164-1120 - Phone
- (270) 237-3655
- Fax
- (270) 237-3278
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4123 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Mark Huntsman DMD PSC | Past | Accepting new patients | |
| Johnson Dental Associates, PLLS | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4123 | KY | Yes |
Addresses
Primary practice location
199 W Main St
Scottsville, KY 42164-1120
Mailing address
199 W Main St
Scottsville, KY 42164-1120
Phone (270) 237-3655
Other providers in Scottsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.