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General NPI Number Information
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NPI Number | 1740470574
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Entity Type | Individual
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Provider Name | DIANE HUGHES D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 2401-D CABEZON BOULEVARD
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City | RIO RANCHO
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State | NM
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Zip | 87124
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Country | US
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Telephone | 505-271-0305
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Fax | 505-899-6980
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Provider Business Mailing Address
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Address Line | 4901 LARCHMONT DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2938
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Country | US
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Telephone | 505-271-0305
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Fax | 505-899-6980
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DD2972
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 046250
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License Number State | NY
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