Provider Demographics
NPI:1679652945
Name:JOHN A. HUGHES DDS PC
Entity Type:Organization
Organization Name:JOHN A. HUGHES DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-530-4110
Mailing Address - Street 1:2457 HIGHWAY 138 SW
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-3309
Mailing Address - Country:US
Mailing Address - Phone:770-530-4110
Mailing Address - Fax:770-400-9233
Practice Address - Street 1:2457 HIGHWAY 138 SW
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-3309
Practice Address - Country:US
Practice Address - Phone:770-530-4110
Practice Address - Fax:770-400-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty