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Organization

S. CLINT HUDSON, D.M.D., M.D., L.L.C.

Active
Other names
S. Clint Hudson, D.M.D., M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
S CLINT HUDSON DMD, MD (OWNER)
(256) 533-1282
Entity
Organization

Contact information

Practice address
2317 WHITESBURG DR S, HUNTSVILLE, AL 35801-3819
(256) 533-1282
(256) 533-1288
Mailing address
2317 WHITESBURG DR S, HUNTSVILLE, AL 35801-3819
(256) 533-1282
(256) 533-1288

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5051
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001858654
UNITED CONCORDIA
PA
01
4129232
BLUECROSS BLUESHIELD TN
TN
01
51003400
BLUECROSS BLUESHIELD AL
AL
01
51136356
BLUECROSS BLUESHIELD AL
AL
05
529928780
AL
01
K919
MEDICARE
AL
Enumeration date
07/14/2006
Last updated
09/03/2013
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