Provider Demographics
NPI:1467854711
Name:HUGHES DAUGHERTY, SAVANNAH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:
Last Name:HUGHES DAUGHERTY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SAVANNAH
Other - Last Name:HUGHES DAUGHERTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:670 DIAMOND PEAK DR
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-8001
Mailing Address - Country:US
Mailing Address - Phone:270-841-7459
Mailing Address - Fax:
Practice Address - Street 1:8453 NASHVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-8721
Practice Address - Country:US
Practice Address - Phone:270-841-7459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10314122300000X
NC9396122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist