MEDICARE: RICHARD S. HUGHES III D.D.S.,P.A.

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	8992	NJ

General Provider Information

NPI Number	:	1730296674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD S. HUGHES III D.D.S.,P.A.

Provider Business Mailing Address
First Line	:	140 PLEASANT ST
Second Line	:
City	:	HAWORTH
State	:	NJ
Zip	:	07641-1931
Country	:	US
Telephone Number	:	201-387-6060
Fax Number	:	201-224-7244

Provider Business Practice Location Address
First Line	:	1033 RIVER RD
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1351
Country	:	US
Telephone Number	:	201-224-0900
Fax Number	:	201-224-7244

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD S. HUGHES III
Credential	:	D.D.S.
Telephone Number	:	201-224-0900

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	08/22/2020

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