Individual
TED LOUIS HUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2424 STRINGTOWN RD, EVANSVILLE, IN 47711-3361
(812) 424-2400
(812) 424-8377
Mailing address
2424 STRINGTOWN RD, EVANSVILLE, IN 47711-3361
(812) 424-2400
(812) 424-8377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007611A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133250
—
IN
Enumeration date
11/07/2006
Last updated
04/25/2012
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