Provider Demographics
NPI:1972666048
Name:MCHUGH, EARL STEPHEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:STEPHEN
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:MICKEY
Other - Middle Name:
Other - Last Name:MCHUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6455 OVERBROOK
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66208
Mailing Address - Country:US
Mailing Address - Phone:913-677-1436
Mailing Address - Fax:
Practice Address - Street 1:4320 WORNALL
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111
Practice Address - Country:US
Practice Address - Phone:816-561-5335
Practice Address - Fax:816-561-5570
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO10152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist