Provider Demographics
NPI:1689898801
Name:HUGHES, EDWARD RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:RICHARD
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:46440 BENEDICT DR
Mailing Address - Street 2:#201
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-6602
Mailing Address - Country:US
Mailing Address - Phone:703-444-1152
Mailing Address - Fax:703-430-8117
Practice Address - Street 1:46440 BENEDICT DR
Practice Address - Street 2:#201
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-6602
Practice Address - Country:US
Practice Address - Phone:703-444-1152
Practice Address - Fax:703-430-8117
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010060571223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice