Provider Demographics
NPI:1336290121
Name:FLAX, HUGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:
Last Name:FLAX
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 THE NORTH CHACE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4235
Mailing Address - Country:US
Mailing Address - Phone:044-667-0394
Mailing Address - Fax:404-255-2936
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 430
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-255-9080
Practice Address - Fax:404-255-2936
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN010086122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist