Provider Demographics
NPI:1336611185
Name:HUGHES ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:HUGHES ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-360-8660
Mailing Address - Street 1:7906 ANDRUS RD STE 18
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3170
Mailing Address - Country:US
Mailing Address - Phone:703-360-8660
Mailing Address - Fax:703-360-5051
Practice Address - Street 1:7906 ANDRUS RD STE 18
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3170
Practice Address - Country:US
Practice Address - Phone:703-360-8660
Practice Address - Fax:703-360-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty