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GARY W HUDSON, D.M.D., M.D. – NPI #1447214424
Oral & Maxillofacial Surgery

NPI Profile for Dr GARY W HUDSON in HUNTSVILLE, AL.

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Contact Information

GARY W HUDSON, D.M.D., M.D.
1105 EAGLETREE LN SE
HUNTSVILLE, AL  35801-6447
 Phone: 256-882-7873
 Fax: 256-882-7874
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

 1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for GARY W HUDSON · (Male)

NPI # 1447214424
Status Active
Credentials D.M.D., M.D.
Entity Individual
Enumeration date 04/14/2006
Last updated 10/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 12133
  • AL License # 3677
  • AL Medicaid 008606360
  • AL Other 760775732 AETNA
  • AL Other 760775732 AMERITAS
  • AL Other 51000927 BLUE CROSS BLUE SHIELD AL
  • AL Other 760775732 CIGNA
  • AL Other 760775732 DELTA DENTAL
  • AL Other 760775732 GUARDIAN
  • AL Other 760775732 JARDINES
  • AL Other 760775732 MAIL HANDLERS
  • AL Other 760775732 METLIFE
  • AL Other 760775732 NAMCI
  • AL Other 760775732 PRINCIPAL
  • AL Other 760775732 SOUTHLAND
  • AL Other 720892 UNITED CONCORDIA
  • AL Other 760775732 WASHINGTON DENTAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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