Provider Demographics
NPI:1891813671
Name:HUGHES, HERBERT M (DDS)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:M
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 1:7906 ANDRUS RD
Mailing Address - Street 2:# 19
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3168
Mailing Address - Country:US
Mailing Address - Phone:703-360-8660
Mailing Address - Fax:703-360-5051
Practice Address - Street 1:7906 ANDRUS RD
Practice Address - Street 2:# 19
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3168
Practice Address - Country:US
Practice Address - Phone:703-360-8660
Practice Address - Fax:703-360-5051
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4010063841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540881021OtherTAX IDENTIFICATION NUMBER