Provider Demographics
NPI:1861496291
Name:HUGHES, TERRY L (DDS)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:L
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 W. WILLIAM STREET
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015
Mailing Address - Country:US
Mailing Address - Phone:740-362-1591
Mailing Address - Fax:740-363-0061
Practice Address - Street 1:833 W. WILLIAM STREET
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015
Practice Address - Country:US
Practice Address - Phone:740-362-1591
Practice Address - Fax:740-363-0061
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.018432122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist