# E H DUDLEY, DDS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspen Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043676604
- **Authorized official:** ELLIOTT HODGES DUDLEY DDS (OWNER)
- **Authorized official phone:** (731) 660-8981

## Contact information

- **Practice address:** 1119 VANN DR, JACKSON, TN 38305-6098
- **Practice address phone:** (731) 660-8981
- **Practice address fax:** (731) 660-7398
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189
- **Mailing address phone:** (315) 454-6000
- **Mailing address fax:** (315) 410-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000009633 | TN | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 01/12/2016