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Individual

DR. SHANA G. HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
24 CADEN WAY STE. 3, RUSSELL SPRINGS, KY 42642-0569
(270) 866-4101
(270) 866-4133
Mailing address
P.O. BOX 569, RUSSELL SPRINGS, KY 42642-4628
(270) 866-4101
(270) 866-4133

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9064
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
92577DM
KY
Enumeration date
07/05/2011
Last updated
03/21/2016
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