MEDICARE: DR. WESTON HUGHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN015651	GA

General Provider Information

NPI Number	:	1437617677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WESTON HUGHES

Provider Business Mailing Address
First Line	:	1202 CLEO WAY STE 1
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 CLEO WAY STE 1
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8428
Country	:	US
Telephone Number	:	706-278-2553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	03/06/2019

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