| E R Hughes Enterprises Inc | |
|
46440 Benedict Dr # 201 Sterling VA 20164-6602 | |
| (703) 444-1152 | |
| (703) 430-8117 |
| Full Name | E R Hughes Enterprises Inc |
|---|---|
| Speciality | Dentist |
| Location | 46440 Benedict Dr, Sterling, Virginia |
| Authorized Official Name and Position | Eric Richard Hughes (OWNER) |
| Authorized Official Contact | 7034441152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E R Hughes Enterprises Inc 46440 Benedict Dr # 201 Sterling VA 20164-6602 Ph: (703) 444-1152 | E R Hughes Enterprises Inc 46440 Benedict Dr # 201 Sterling VA 20164-6602 Ph: (703) 444-1152 |
| NPI Number | 1104371731 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Medicare PECOS PAC ID | 9830486000 |
|---|---|
| Medicare Enrollment ID | O20161003001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104371731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401006057 (Virginia) | Primary |
| Provider Name | Edward Richard Hughes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689898801 PECOS PAC ID: 0749577914 Enrollment ID: I20161003001655 |
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