National Provider Identifier Database

JOHN W HUDSON, DDS – NPI #1922020379
Oral & Maxillofacial Surgery

Contact Information

JOHN W HUDSON, DDS
1930 ALCOA HWY
STE 335
KNOXVILLE, TN  37920-1500
Phone: 865-544-9021
Fax: 865-544-9565
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X
Undersea and Hyperbaric Medicine 207PE0005X
Undersea and Hyperbaric Medicine 2083P0011X

* Indicates primary specialty

NPI Profile & details for JOHN W HUDSON

NPI Number 1922020379
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/24/2006
Last updated 04/17/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: CERTIFICATE
  • MI License #: 2901014026
  • TN License #: DS006030
  • TN Medicaid: 3224723
  • Other: 0015837 BLUE CROSS BLUE SHIELD
  • IA Other: 0005113 ASSURANT EMPLOYEE BENEFIT
  • KY Other: 64777451 KENTUCKY MEDICAID
  • TN Other: TN0102 AMERICHOICE TENNCARE O-1
  • TN Other: TN0103 AMERICHOICE TENNCARE O-2
  • TN Other: TN0104 AMERICHOICE TENNCARE O-3
  • TN Other: 1211270 CIGNA DENTAL DMO OFFC 1
  • TN Other: 199845 CIGNA DENTAL DMO OFFC 2
  • TN Other: 199846 CIGNA DENTAL DMO OFFC 3
  • TN Other: 621199959 CIGNA DENTAL PPO
  • TN Other: 199845 CIGNA DENTAL PPO OFFC 2
  • TN Other: 199846 CIGNA DENTAL PPO OFFC3
  • TN Other: DS006030 LICENSE
  • UT Other: 732021 DENTAL BEN. PROV. OFFC 1
  • UT Other: 732022 DENTAL BEN. PROV. OFFC 2
  • UT Other: 732023 DENTAL BEN. PROV. OFFC 3
Hospital affiliation n/a

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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