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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