Raymond Bruce Huzek, D.D.S.

Individual provider Active NPI General Practice Dentistry · Burkeville, VA

NPI 1437270402 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1437270402
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401005339 (VA)
Practice address
2892 Schutt Rd
Burkeville, VA 23922-2425
Phone
(434) 767-5543
Fax
(434) 767-2292
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401005339VAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401005339 VA Yes

Addresses

Primary practice location

2892 Schutt Rd
Burkeville, VA 23922-2425

Mailing address

14421 Michaux View Way
Midlothian, VA 23113-6856
Phone (804) 379-6465

Other providers in Burkeville, VA

All providers in Burkeville, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.