Active NPI
Leonora Huffstutter, DA
- Dentist
- Norcross, GA
National Provider Identifier
1174576383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 1480 Beaver Ruin Rd
Ste E
Norcross, GA 30093 - Phone
- (770) 449-0836
- Fax
- (770) 717-0150
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | GA | Primary |
Addresses
Primary practice location
1480 Beaver Ruin Rd
Ste E
Norcross, GA 30093
Mailing address
1480 Beaver Ruin Rd
Ste E
Norcross, GA 30093
Phone (770) 449-0836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057290346 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174576383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 BEAVER RUIN RD",
"address_2": "STE E",
"city": "NORCROSS",
"state": "GA",
"postal_code": "30093",
"telephone_number": "770-449-0836",
"fax_number": "770-717-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 BEAVER RUIN RD",
"address_2": "STE E",
"city": "NORCROSS",
"state": "GA",
"postal_code": "30093",
"telephone_number": "770-449-0836",
"fax_number": "770-717-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFSTUTTER",
"first_name": "LEONORA",
"credential": "DA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.