Provider Demographics
NPI:1952434474
Name:HUGHES, DANIEL P (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:HUGHES
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 1:3 TELFORD LN
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-4207
Mailing Address - Country:US
Mailing Address - Phone:843-682-2636
Mailing Address - Fax:
Practice Address - Street 1:10 WILLIAM POPE DR.
Practice Address - Street 2:SUITE 2
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-7512
Practice Address - Country:US
Practice Address - Phone:843-705-7066
Practice Address - Fax:843-705-7096
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007867A122300000X
SC45841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist