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Organization
DOUGLAS JOHN HUGHES DDS PC
Active
Organization
DOUGLAS JOHN HUGHES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JOHN HUGHES DDS (PRESIDENT)
(757) 583-1212
Entity
Organization
Contact information
Practice address
1542 E BAYVIEW BLVD, NORFOLK, VA 23503-3255
(757) 583-1212
(757) 583-4722
Mailing address
1542 E BAYVIEW BLVD, NORFOLK, VA 23503-3255
(757) 583-1212
(757) 583-4722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005733
VA
1223G0001X
General Practice Dentistry
0401412532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095568
ANTHEM BLUE CROSS BLUE SHIELD
VA
01
—
545504
UNITED CONCORDIA COMPANY INC
VA
Enumeration date
06/29/2009
Last updated
06/29/2009
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