Provider Demographics
NPI:1083701031
Name:MCHUGH, JAMES GARY (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GARY
Last Name:MCHUGH
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 1:1131 LILLY VUE CT
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3055
Mailing Address - Country:US
Mailing Address - Phone:724-687-0081
Mailing Address - Fax:724-687-0082
Practice Address - Street 1:1131 LILLY VUE CT
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3055
Practice Address - Country:US
Practice Address - Phone:724-687-0081
Practice Address - Fax:724-687-0082
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019851-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice