Provider Demographics
NPI:1205941440
Name:MCHUGH, TERENCE EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:EDWARD
Last Name:MCHUGH
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 1:4378 HOLT RD
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1666
Mailing Address - Country:US
Mailing Address - Phone:517-694-2412
Mailing Address - Fax:517-694-0405
Practice Address - Street 1:4378 HOLT RD
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1666
Practice Address - Country:US
Practice Address - Phone:517-694-2412
Practice Address - Fax:517-694-0405
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI137841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice