Individual
STEVEN CLINT HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
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 CONCORIDA
PA
05
—
009937778
—
AL
01
—
4129232
BLUECROSS BLUESHIELD TN
TN
01
—
51003400
BLUECROSS BLUESHIELD AL
AL
01
—
51136356
BLUECROSS BLUESHIELD AL
AL
Enumeration date
04/19/2006
Last updated
09/03/2013
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