# HUNTINGTON DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huntington Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962933887
- **Authorized official:** MARK DAKE (OWNER)
- **Authorized official phone:** (501) 781-2777

## Contact information

- **Practice address:** 6353 E PEA RIDGE RD, HUNTINGTON, WV 25705-2525
- **Practice address phone:** (304) 736-4794
- **Mailing address:** PO BOX 3450, LITTLE ROCK, AR 72203-3450
- **Mailing address phone:** (501) 781-2777

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2017
- **Last updated:** 03/22/2017