Kelly Hughes, DMD, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012769 Issued in GA

Legal business name

KELLY HUGHES, DMD, LLC

Practice address

400 Town Park Blvd Ste 400
Evans, GA 30809-3471

Phone

(706) 288-1100

Fax

(706) 288-1060

NPI assigned

Aug 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly Hughes, DMD

Title

Owner/Dentist

Phone

(706) 399-8601

Specialties & licenses 1

Addresses

Other names 1

• Southern Smiles Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber O. Perry, D.M.D.

  • Pediatric Dentistry
  • Evans, GA
  • NPI 1548281173
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114441995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWN PARK BLVD STE 400",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093471",
            "telephone_number": "706-288-1100",
            "fax_number": "706-288-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWN PARK BLVD STE 400",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093471",
            "telephone_number": "706-288-1100",
            "fax_number": "706-288-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY HUGHES, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "706-399-8601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poonaminder Kaur, MD
• James Benjamin Kay IV, M.D.
• Emma K Keeler, PA
• Mark Bernard Keen
• Ashley Keller
• Carroll Marie Kelly, RN
• Kendra Neal Studio LLC
• Trinity Kennerly
• Shauna Lynne Kenney, LPC
• Jeff Thomas Kertscher, PT

• Pediatric Dentistry in Evans, GA
• Providers in Evans, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.