Provider Demographics
NPI:1538336888
Name:HUDSON, JAMES D (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1011 AVALON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2401
Mailing Address - Country:US
Mailing Address - Phone:256-383-8736
Mailing Address - Fax:256-383-1782
Practice Address - Street 1:1011 AVALON AVE
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2401
Practice Address - Country:US
Practice Address - Phone:256-383-8736
Practice Address - Fax:256-383-1782
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALLNO34271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics