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Individual

DR. GREGORY SCOTT HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.,PC

Contact information

Practice address
2840 HERSHBERGER RD NW STE C, ROANOKE, VA 24017-1915
(540) 366-8325
(540) 366-0685
Mailing address
41 ASHBY DR, DALEVILLE, VA 24083-3229
(540) 966-0633
(540) 366-0685

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7630
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
542041901
TAX ID
VA
01
7630
LIC NO
VA
Enumeration date
03/20/2007
Last updated
04/30/2008
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