Provider Demographics
NPI:1376311050
Name:MEREDITH HUGHES DMD LLC
Entity Type:Organization
Organization Name:MEREDITH HUGHES DMD LLC
Other - Org Name:MEREDITH HUGHES DMD LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:828-361-7258
Mailing Address - Street 1:6059 BOYLSTON DR STE 150
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4175
Mailing Address - Country:US
Mailing Address - Phone:404-252-1441
Mailing Address - Fax:
Practice Address - Street 1:6059 BOYLSTON DR STE 150
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4175
Practice Address - Country:US
Practice Address - Phone:404-252-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty