James Dewitt Haugo, DDS
Individual provider Active NPI General Practice Dentistry · Litchfield, MN
NPI 1407993397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407993397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8847 (MN)
- Practice address
- 715 No Sibley Ave
Litchfield, MN 55355 - Phone
- (320) 693-2228
- Fax
- (320) 593-7655
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 8847 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D Haugo DDS PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8847 | MN | Yes |
Addresses
Primary practice location
715 No Sibley Ave
Litchfield, MN 55355
Mailing address
715 No Sibley Ave
Litchfield, MN 55355
Phone (320) 693-2228
Other providers in Litchfield, MN
- Lindsey Greenlun
- Ashlee H Gruenhagen
- Brad Hagedorn
- Janell R Haiwick
- Suzanne Cecelia Hansen
- Heather Havemeier
- Hearing Professionals Inc.
- James J Hess
- Mackenzie Hoffman
- Terra McKenzie Hoffman
All providers in Litchfield, MN · General Practice Dentistry in Minnesota
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.