Provider Demographics
NPI:1154439842
Name:HUEY, JUDY H (DDS)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:H
Last Name:HUEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10290 N 92ND ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4522
Mailing Address - Country:US
Mailing Address - Phone:480-767-0132
Mailing Address - Fax:480-767-0083
Practice Address - Street 1:10290 N 92ND ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4522
Practice Address - Country:US
Practice Address - Phone:480-767-0132
Practice Address - Fax:480-767-0083
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ64981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice