Individual
DR. ELLIOTT HODGES DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1119 VANN DR, JACKSON, TN 38305-6098
(731) 300-2447
Mailing address
1119 VANN DR, JACKSON, TN 38305-6098
(731) 300-2447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9633
TN
Other
Enumeration date
08/27/2008
Last updated
04/02/2015
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