Hughes, Mary Alice Vickery

Hughes, Mary Alice Vickery is an sole proprietor health care provider with primary practice located at 545 Verdae Blvd Ste A , Greenville SC 29607. She recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Hughes, Mary Alice Vickery can be contacted via phone (864) 676-9873.

Contact Information

Primary practice address
545 Verdae Blvd Ste A Greenville SC 29607
Phone: (864) 676-9873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN20661 Florida
Dental Providers / General Practice 1223G0001X 8103 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 8103 South Carolina

Profile Details

NPI number 1942565023
LBN Legal business name Hughes, Mary Alice Vickery
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2012
Last updated Sep 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942565023 NPPES
South Carolina MEDICAID ZX8103

Popular Providers