Provider Demographics
NPI:1144414426
Name:HUGHES, DAVID WOODROW (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WOODROW
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 1:12221 MERIT DRIVE
Mailing Address - Street 2:SUITE 470
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2235
Mailing Address - Country:US
Mailing Address - Phone:972-628-6440
Mailing Address - Fax:972-628-6445
Practice Address - Street 1:12221 MERIT DRIVE
Practice Address - Street 2:SUITE 470
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2235
Practice Address - Country:US
Practice Address - Phone:972-628-6440
Practice Address - Fax:972-628-6445
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20794122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist