MEDICARE: MEREDITH HUGHES DMD LLC

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

General Provider Information

NPI Number	:	1902674419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEREDITH HUGHES DMD LLC

Provider Business Mailing Address
First Line	:	6059 BOYLSTON DR STE 150
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4175
Country	:	US
Telephone Number	:	404-252-1221
Fax Number	:

Provider Business Practice Location Address
First Line	:	6059 BOYLSTON DR STE 150
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4175
Country	:	US
Telephone Number	:	404-252-1221
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MEREDITH ELISE HUGHES
Credential	:	DMD
Telephone Number	:	828-361-7258

Provider Enumeration Date	:	12/13/2023
Last Update Date	:	12/13/2023

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