Provider Demographics
NPI:1457411506
Name:CHAMPAGNE, HUGH PIERCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:PIERCE
Last Name:CHAMPAGNE
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 1:761 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-4157
Mailing Address - Country:US
Mailing Address - Phone:504-362-8282
Mailing Address - Fax:504-362-8283
Practice Address - Street 1:761 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-4157
Practice Address - Country:US
Practice Address - Phone:504-362-8282
Practice Address - Fax:504-362-8283
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice