# HUCKMAN DENTAL PROFESSIONALS, PLLC

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

## Provider details

- **NPI number:** 1841561164
- **Authorized official:** DR. KIMBERLY MARIE KOENEG D.D.S. (MANAGING MEMBER)
- **Authorized official phone:** (361) 243-6242

## Contact information

- **Practice address:** 106 E CORPUS CHRISTI ST, SUITE C, BEEVILLE, TX 78102-5600
- **Practice address phone:** (361) 358-5151
- **Practice address fax:** (361) 358-5524
- **Mailing address:** 106 E CORPUS CHRISTI ST, SUITE C, BEEVILLE, TX 78102-5600
- **Mailing address phone:** (361) 358-5151
- **Mailing address fax:** (361) 358-5524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22869 | TX | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2146748-02 | — | TX |