Provider Demographics
NPI:1487734745
Name:HIGDON, NORRIS FREEMAN (DMD)
Entity type:Individual
Prefix:MR
First Name:NORRIS
Middle Name:FREEMAN
Last Name:HIGDON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 MILL ST
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754
Mailing Address - Country:US
Mailing Address - Phone:270-259-5300
Mailing Address - Fax:270-259-8019
Practice Address - Street 1:711 MILL ST
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-1516
Practice Address - Country:US
Practice Address - Phone:270-259-5300
Practice Address - Fax:270-259-8019
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6484122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist