Provider Demographics
NPI:1699982256
Name:HUGHES ORTHODONTICS, PLLC
Entity type:Organization
Organization Name:HUGHES ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:O
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:601-649-7800
Mailing Address - Street 1:501 AZALEA DR STE F
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367-2661
Mailing Address - Country:US
Mailing Address - Phone:601-735-4788
Mailing Address - Fax:601-426-6558
Practice Address - Street 1:140 S 15TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-4124
Practice Address - Country:US
Practice Address - Phone:601-649-7800
Practice Address - Fax:601-426-6558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOR0077771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty