Provider Demographics
NPI:1912081316
Name:HUGHES, THOMAS ROBERT (D,D,S,)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ROBERT
Last Name:HUGHES
Suffix:
Gender:M
Credentials:D,D,S,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 CENTER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1239
Mailing Address - Country:US
Mailing Address - Phone:440-937-2273
Mailing Address - Fax:440-937-4901
Practice Address - Street 1:1480 CENTER RD
Practice Address - Street 2:SUITE D
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1239
Practice Address - Country:US
Practice Address - Phone:440-937-2273
Practice Address - Fax:440-937-4901
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH185631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice