Provider Demographics
NPI:1104031848
Name:HUGHES, JAY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9106 N MERIDIAN ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1884
Mailing Address - Country:US
Mailing Address - Phone:317-846-7001
Mailing Address - Fax:317-846-7102
Practice Address - Street 1:9106 N MERIDIAN ST
Practice Address - Street 2:SUITE 250
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1884
Practice Address - Country:US
Practice Address - Phone:317-846-7001
Practice Address - Fax:317-846-7102
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN12008582A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics