Provider Demographics
NPI:1275210304
Name:AVON DENTAL CARE, THOMAS R. HUGHES, DDS, INC.
Entity Type:Organization
Organization Name:AVON DENTAL CARE, THOMAS R. HUGHES, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-937-2273
Mailing Address - Street 1:1480 CENTER RD STE D
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1239
Mailing Address - Country:US
Mailing Address - Phone:440-937-2273
Mailing Address - Fax:440-937-4901
Practice Address - Street 1:1480 CENTER RD STE D
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1239
Practice Address - Country:US
Practice Address - Phone:440-937-2273
Practice Address - Fax:440-937-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental