Provider Demographics
NPI:1518584952
Name:HUGHES, KATHERINE OLIVIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:OLIVIA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 VANN DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-6098
Mailing Address - Country:US
Mailing Address - Phone:731-300-0386
Mailing Address - Fax:
Practice Address - Street 1:1189 VANN DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-6098
Practice Address - Country:US
Practice Address - Phone:731-300-0386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN113351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry