# DR WILLIAM R HUBBELL JR DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306008792
- **Authorized official:** DR. WILLIAM RUSSELL HUBBELL JR. DDS (CEO)
- **Authorized official phone:** (810) 987-9666

## Contact information

- **Practice address:** 1980 HOLLAND AVE, PORT HURON, MI 48060-1520
- **Practice address phone:** (810) 987-9666
- **Practice address fax:** (810) 987-6363
- **Mailing address:** 1980 HOLLAND AVE, PORT HURON, MI 48060-1520
- **Mailing address phone:** (810) 987-9666
- **Mailing address fax:** (810) 987-6363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901011497 | MI | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 2901011497 | MI | — |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 06/27/2008