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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