Provider Demographics
NPI:1356721542
Name:HURLEY, ERIN MARY (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MARY
Last Name:HURLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 14TH ST NW APT 804
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3758
Mailing Address - Country:US
Mailing Address - Phone:607-742-3872
Mailing Address - Fax:
Practice Address - Street 1:10620 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-1602
Practice Address - Country:US
Practice Address - Phone:540-898-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2020-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1002117122300000X
390200000X
VA0401415525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program