Provider Demographics
NPI:1235570987
Name:TERENCE E MCHUGH DDS PLC
Entity Type:Organization
Organization Name:TERENCE E MCHUGH DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-694-2412
Mailing Address - Street 1:4378 HOLT RD STE 2
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1634
Mailing Address - Country:US
Mailing Address - Phone:517-694-2412
Mailing Address - Fax:517-694-0405
Practice Address - Street 1:4378 HOLT RD STE 2
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1634
Practice Address - Country:US
Practice Address - Phone:517-694-2412
Practice Address - Fax:517-694-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI137841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI13784OtherGENERAL DENTAL PROVIDER