Provider Demographics
NPI:1548356116
Name:HUGHEY, JOSEPH G (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:HUGHEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CARDINAL WAY APT 2810
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63102-2819
Mailing Address - Country:US
Mailing Address - Phone:636-751-4125
Mailing Address - Fax:
Practice Address - Street 1:1 CARDINAL WAY APT 2810
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63102-2819
Practice Address - Country:US
Practice Address - Phone:636-751-4125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO151461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice