Individual
DR. DANIEL COWEN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1666 S FOREST AVE, LUVERNE, AL 36049-7305
(334) 335-3697
(334) 335-4128
Mailing address
1666 S FOREST AVE, LUVERNE, AL 36049-7305
(334) 335-3697
(334) 335-4128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4934
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06053
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
920212
UNITED CONCORDIA
—
Enumeration date
05/09/2013
Last updated
02/25/2020
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