Organization
E H DUDLEY, DDS, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT HODGES DUDLEY DDS (OWNER)
(731) 660-8981
Entity
Organization
Contact information
Practice address
1119 VANN DR, JACKSON, TN 38305-6098
(731) 660-8981
(731) 660-7398
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000009633
TN
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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