Provider Demographics
NPI:1952315285
Name:D. WAYNE HUGHART, DDS, MS, PLLC
Entity Type:Organization
Organization Name:D. WAYNE HUGHART, DDS, MS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HUGHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:865-692-2380
Mailing Address - Street 1:PO BOX 32768
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37930-2768
Mailing Address - Country:US
Mailing Address - Phone:865-692-2380
Mailing Address - Fax:865-692-2382
Practice Address - Street 1:121 S DAVID LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3204
Practice Address - Country:US
Practice Address - Phone:865-692-2380
Practice Address - Fax:865-692-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN83471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty