Provider Demographics
NPI:1063149268
Name:MICHAEL HUGHES TUFTON DDS PROFESSIONAL LLC
Entity type:Organization
Organization Name:MICHAEL HUGHES TUFTON DDS PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TUFTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-881-7963
Mailing Address - Street 1:1705 LAPALCO BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3020
Mailing Address - Country:US
Mailing Address - Phone:504-362-5270
Mailing Address - Fax:
Practice Address - Street 1:1705 LAPALCO BLVD STE 2
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3020
Practice Address - Country:US
Practice Address - Phone:504-361-3697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty