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SOUTHERN SMILES PEDIATRIC DENTISTRY
NPI 1114441995
Dentist - Pediatric Dentistry in Evans, GA

Active since August 02, 2017
400 TOWN PARK BLVD STE 400, EVANS, GA 30809(706) 288-1100(706) 288-1060 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Southern Smiles Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN SMILES PEDIATRIC DENTISTRY (NPI 1114441995) is a healthcare organization registered as a pediatric dentistry in Evans, Georgia and active in the NPI registry since August 2017. The organization lists Kelly Hughes, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1114441995
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKELLY HUGHES, DMD, LLC
Location Address400 TOWN PARK BLVD STE 400Evans, GA 30809-3471
Mailing Address400 Town Park Blvd Ste 400Evans, GA 30809-3471 · (706) 288-1100 · Fax (706) 288-1060
Phone(706) 288-1100
Fax(706) 288-1060
Organization SubpartNo
Authorized OfficialKelly HughesOwner/dentist · (706) 399-8601
Enumeration DateAugust 2, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114441995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN012769
Definition
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.
400 TOWN PARK BLVD STE 400, Evans, GA 30809
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Other Names 1

Doing Business AsSouthern Smiles Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMBER O. PERRY D.M.D.
Dentist (Pediatric Dentistry)
400 TOWN PARK BLVD STE 400
EVANS, GA 30809
Columbia County (706) 288-1100
LAINDIA MINCEY RBT
Behavior Technician
400 TOWN PARK BLVD STE 400
EVANS, GA 30809
Columbia County (904) 538-0713
TOREYA GREEN RBT
Behavior Technician
400 TOWN PARK BLVD STE 400
EVANS, GA 30809
Columbia County (706) 921-3092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Hughes, Dmd, LLC's NPI number?

The NPI number for Kelly Hughes, Dmd, LLC is 1114441995. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Southern Smiles Pediatric Dentistry.

Where is Kelly Hughes, Dmd, LLC located?

Kelly Hughes, Dmd, LLC is located at 400 Town Park Blvd Ste 400, Evans, GA 30809. The listed phone number is (706) 288-1100.

What is Kelly Hughes, Dmd, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Kelly Hughes, Dmd, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.