# GARY W. HUDSON, DMD, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932325677
- **Authorized official:** DR. GARY WAYNE HUDSON MD, DMD (PRESIDENT)
- **Authorized official phone:** (256) 882-7873

## Contact information

- **Practice address:** 1105 EAGLETREE LN SE, HUNTSVILLE, AL 35801-6447
- **Practice address phone:** (256) 882-7873
- **Practice address fax:** (256) 882-7874
- **Mailing address:** 1105 EAGLETREE LN SE, HUNTSVILLE, AL 35801-6447
- **Mailing address phone:** (256) 882-7873
- **Mailing address fax:** (256) 882-7874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3677 | AL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 12133 | AL | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 09/11/2025
