Active NPI
Frank Edwin Huff Jr., DMD
- Dentist
- Statesboro, GA
National Provider Identifier
1376857722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014136
- Practice address
- 4 Lester Rd
Statesboro, GA 30458-4786 - Phone
- (912) 764-9891
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- 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 | DN014136 | GA | Primary |
Addresses
Primary practice location
4 Lester Rd
Statesboro, GA 30458-4786
Mailing address
1423 Hickman Rd
Augusta, GA 30904-4783
Phone (706) 799-1445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201217002662 | GA | Order and Referring Only - Dentist | 8820400724 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014136 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1376857722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 HICKMAN RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044783",
"telephone_number": "706-799-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LESTER RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584786",
"telephone_number": "912-764-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "FRANK",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.