HUNTINGBURG FAMILY DENTISTRY
NPI 1417310566
Clinic/Center - Dental in Huntingburg, IN

Active since April 05, 2016CLIA 15D0717576 · Waiver
517 E 5TH ST, HUNTINGBURG, IN 47542(812) 683-4100(812) 683-4110 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Huntingburg Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUNTINGBURG FAMILY DENTISTRY (NPI 1417310566) is a healthcare organization registered as a dental in Huntingburg, Indiana and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barbara Lubbehusen, Scheduling & Insurance, as its authorized official.

NPPES Registry Identity

NPI1417310566
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHUNTINGBURG FAMILY DENTISTRY
Location Address517 E 5TH STHuntingburg, IN 47542-1004
Mailing Address517 E 5th StHuntingburg, IN 47542-1004
Fax(812) 683-4110
Organization SubpartNo
Authorized OfficialBarbara LubbehusenScheduling & Insurance · (812) 683-4100
Enumeration DateApril 5, 2016
NPI 1417310566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
517 E 5TH ST, Huntingburg, IN 47542

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0717576
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MARY L. BURGESON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Huntingburg Family Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
517 E 5TH ST
HUNTINGBURG, IN 47542
Dentist
517 E 5TH ST
HUNTINGBURG, IN 47542
Dentist
517 E 5TH ST
HUNTINGBURG, IN 47542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417310566, enumerated as an "organization" on April 05, 2016.

The provider is located at 517 E 5TH ST HUNTINGBURG, IN 47542 and the phone number is (812) 683-4100.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.