Provider Demographics
NPI:1093331472
Name:HUGHES, AUSTIN ANTHONY (DMD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:ANTHONY
Last Name:HUGHES
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 1:120-B BETTIS ACADEMY RD.
Mailing Address - Street 2:
Mailing Address - City:GRANITEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29829
Mailing Address - Country:US
Mailing Address - Phone:803-392-7082
Mailing Address - Fax:
Practice Address - Street 1:120-B BETTIS ACADEMY RD.
Practice Address - Street 2:
Practice Address - City:GRANITEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29829
Practice Address - Country:US
Practice Address - Phone:803-392-7082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9624122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist