Provider Demographics
NPI:1316450299
Name:HUFFMAN, SHAWNA HAUGHT (DMD)
Entity type:Individual
Prefix:DR
First Name:SHAWNA
Middle Name:HAUGHT
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:LEE
Other - Last Name:HAUGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 SW HUNTOON ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1231
Mailing Address - Country:US
Mailing Address - Phone:785-861-8800
Mailing Address - Fax:785-478-5991
Practice Address - Street 1:1400 SW HUNTOON ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1231
Practice Address - Country:US
Practice Address - Phone:785-861-8800
Practice Address - Fax:785-478-5991
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS613871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice