David Carroll Hughes, DDS PC
Individual provider Active NPI Dentist · Thomson, GA
NPI 1013343953 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1013343953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7322 (GA)
- Practice address
- 540 West Hill St.
Thomson, GA 30824 - Phone
- (706) 595-5152
- Fax
- (706) 597-1535
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713001411 | GA | Order and Referring Only - Oral Surgery |
1153634647 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomson Family Dental, LLC | Past | Accepting new patients | |
| David Carroll Hughes DDS PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7322 | GA | Yes |
Addresses
Primary practice location
540 West Hill St.
Thomson, GA 30824
Mailing address
P.O. Box 366
Thomson, GA 30824
Phone (706) 595-5152
Other providers in Thomson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.