Provider Demographics
NPI:1912080367
Name:JOHN A. HUGHES, DDS INC.
Entity Type:Organization
Organization Name:JOHN A. HUGHES, DDS INC.
Other - Org Name:HUGHES DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:(CO) OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:O
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-378-3489
Mailing Address - Street 1:1580 WINCHESTER BLVD
Mailing Address - Street 2:SUITE # 303
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0519
Mailing Address - Country:US
Mailing Address - Phone:408-378-3489
Mailing Address - Fax:408-378-0134
Practice Address - Street 1:1580 WINCHESTER BLVD
Practice Address - Street 2:SUITE # 303
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0519
Practice Address - Country:US
Practice Address - Phone:408-378-3489
Practice Address - Fax:408-378-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA351431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty