Provider Demographics
NPI:1770799439
Name:PATTON, HUGH PETER (DDS)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:PETER
Last Name:PATTON
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 1:5517 BROADWAY ST
Mailing Address - Street 2:STE.A
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3746
Mailing Address - Country:US
Mailing Address - Phone:281-412-7874
Mailing Address - Fax:281-412-7876
Practice Address - Street 1:5517 BROADWAY ST
Practice Address - Street 2:STE.A
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-3746
Practice Address - Country:US
Practice Address - Phone:281-412-7874
Practice Address - Fax:281-412-7876
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19136122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist