Provider Demographics
NPI:1598773046
Name:HUGHES, GAYLON EUGENE (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:GAYLON
Middle Name:EUGENE
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 S JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3343
Mailing Address - Country:US
Mailing Address - Phone:281-331-2702
Mailing Address - Fax:
Practice Address - Street 1:1304 S JOHNSON ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3343
Practice Address - Country:US
Practice Address - Phone:281-331-2702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics