JOHN W HUDSON, DDS, Oral & Maxillofacial Surgery KNOXVILLE, TN

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	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)
Undersea and Hyperbaric Medicine	207PE0005X	93	Physician/Emergency Medicine
Undersea and Hyperbaric Medicine	2083P0011X	84	Physician/Preventive Medicine

Indicates primary specialty

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

NPI #	`1922020379`
Status	Active
Credentials	DDS (Doctor of Dental Surgery)
Entity	Individual
Enumeration date	07/24/2006
Last updated	04/17/2008 - About 18 years ago
Sole proprietor ¹	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(s)	UNIVERSITY OF TN MEMORIAL HOSPITAL - (Acute Care) 1924 ALCOA HIGHWAY KNOXVILLE, TN 37920

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

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery

Undersea and Hyperbaric Medicine

Undersea and Hyperbaric Medicine

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

Reviews for JOHN W HUDSON

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