Organization
VDP OKATIE LLC
Active
Other names
Hughes Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DANIEL HUGHES DMD (DENTIST/OWNER OF PRACTICE)
(260) 312-5794
Entity
Organization
Contact information
Practice address
10 WILLIAM POPE DRIVE, SUITE #2, OKATIE, SC 29909
(843) 705-7066
Mailing address
3919 AMSTATE RD, LEO, IN 46765
(260) 312-5794
(260) 627-5825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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