Provider Demographics
NPI:1598105389
Name:HUGHES, HANNAH MAYER (DMD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MAYER
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 DAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-5719
Mailing Address - Country:US
Mailing Address - Phone:860-688-5595
Mailing Address - Fax:860-688-7403
Practice Address - Street 1:1060 DAY HILL RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-5719
Practice Address - Country:US
Practice Address - Phone:860-688-5595
Practice Address - Fax:860-688-7403
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT116011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004011367Medicaid
CT004011136Medicaid