DR. MARY ALICE VICKERY HUGHES D.M.D. NPI 1942565023

NPI Information

NPI: 1942565023
Provider Name: DR. MARY ALICE VICKERY HUGHES, D.M.D.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
545 VERDAE BLVD STE A
GREENVILLE, SC
ZIP 29607
Phone: (864) 676-9873
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DR. Mary Alice Vickery Hughes, D.M.D. is a pediatric dentistry dentist in Greenville, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Mary Alice Vickery Hughes, D.M.D. NPI is 1942565023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

545 VERDAE BLVD STE A
GREENVILLE, SC
ZIP 29607
Phone: (864) 676-9873

The enumeration date for this NPI number is 7/5/2012 and was last updated on 9/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN20661	FLORIDA	No
2	1223G0001X	Dentist	General Practice	8103	SOUTH CAROLINA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	1223P0221X	Dentist	Pediatric Dentistry	8103	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZX8103	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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