Individual
DR. MICHAEL STEWART PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 CENTRAL AVE SE, HUNTSVILLE, AL 35801-3814
(256) 536-3386
(256) 536-3387
Mailing address
108 CENTRAL AVE SE, HUNTSVILLE, AL 35801-3814
(256) 536-3386
(256) 536-3387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4660
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-34322
BCBS OF AL
AL
Enumeration date
05/22/2007
Last updated
07/08/2007
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