# VALERIE HAUGHTINGTON, DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548638505
- **Authorized official:** VALERIE HAUGHTINGTON (OWNER/DENTIST)
- **Authorized official phone:** (219) 872-2110

## Contact information

- **Practice address:** 1200 S WOODLAND AVE, MICHIGAN CITY, IN 46360-7383
- **Practice address phone:** (219) 872-2110
- **Mailing address:** 1200 S WOODLAND AVE, MICHIGAN CITY, IN 46360-7383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009354 | IN | Yes |

## Other

- **Enumeration date:** 09/08/2015
- **Last updated:** 09/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100376490B | — | IN |