Dr William R Hubbell Jr DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901011497 Issued in MI

Legal business name

DR WILLIAM R HUBBELL JR DDS PC

Practice address

1980 Holland Ave
Port Huron, MI 48060-1520

Phone

(810) 987-9666

Fax

(810) 987-6363

NPI assigned

Jun 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Russell Hubbell Jr., DDSNPI 1578730297

Title

Ceo

Phone

(810) 987-9666

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Russell Hubbell Jr., DDS

  • Dentist
  • Port Huron, MI
  • NPI 1578730297
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1306008792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601520",
            "telephone_number": "810-987-9666",
            "fax_number": "810-987-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601520",
            "telephone_number": "810-987-9666",
            "fax_number": "810-987-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WILLIAM R HUBBELL JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-987-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901011497",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901011497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle W Doyle, MSN, CRNA
• Dr. M. Rousseau, PLLC
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• Brittany Marie Drouillard
• Meghan Nancy Drouillard, RN
• Ellen Drowns, LMSW

• Dentist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.