Individual
BRIAN S HUBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
274 SOUTHMONT BLVD, JOHNSTOWN, PA 15905-2836
(814) 536-8640
Mailing address
274 SOUTHMONT BLVD, JOHNSTOWN, PA 15905-2836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028292L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013017980001
—
PA
01
—
118418
BLUE SHIELD
PA
01
—
2197
DORAL DENTAL USA
PA
01
—
24529-1
DENTAL BENEFIT PROVIDERS
PA
01
—
DNT 67431
MEDPLUS
PA
Enumeration date
11/01/2005
Last updated
07/09/2007
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