Provider Demographics
NPI:1356439137
Name:ROBERT M HUGHES DDS,PS
Entity type:Organization
Organization Name:ROBERT M HUGHES DDS,PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES, SEC. CHAIR, BOARD OF DIR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-466-2373
Mailing Address - Street 1:315 W HASTINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2576
Mailing Address - Country:US
Mailing Address - Phone:509-466-2373
Mailing Address - Fax:509-466-4707
Practice Address - Street 1:315 W HASTINGS RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2576
Practice Address - Country:US
Practice Address - Phone:509-466-2373
Practice Address - Fax:509-466-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00003953261QA0005X, 261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Not Answered261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5329602Medicaid