Provider Demographics
NPI:1417107616
Name:MCHUGH, MEGAN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 BEAUMONT CENTRE CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1956
Mailing Address - Country:US
Mailing Address - Phone:859-296-4846
Mailing Address - Fax:859-296-2842
Practice Address - Street 1:3141 BEAUMONT CENTRE CIR STE 200
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1956
Practice Address - Country:US
Practice Address - Phone:859-296-4846
Practice Address - Fax:859-296-2842
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8414122300000X
KY8611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100071400Medicaid