Individual
STEVEN CLINT HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
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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