William Bradley Hughes, D.D.S.

Individual provider Active NPI General Practice Dentistry · Louisburg, KS

NPI 1073697231 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1073697231
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6835 (KS)
Practice address
4 S Berkley St
Louisburg, KS 66053-3578
Phone
(913) 837-4746
Fax
(913) 837-4500
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Hughes, D.D.S. General Practice Past Accepting new patients
Mt Dentistry LLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6835 KS Yes

Addresses

Primary practice location

4 S Berkley St
Louisburg, KS 66053-3578

Mailing address

4 S. Berkley
P.O. Box 580
Louisburg, KS 66053-0580
Phone (913) 837-4746

Other providers in Louisburg, KS

All providers in Louisburg, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.