# MICHAEL T MCHUGH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326356122
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1755 | ID | Yes |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 09/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010009646 | BLUE SHIELD OF IDAHO | ID |
| 01 | — | 612058100 | US DEPARTMENT OF LABOR | — |
| 01 | — | 6P591 | BLUE CROSS OF IDAHO | ID |
| 01 | — | 9201894 | IDAHO SMILES/DENTAQUEST | ID |