Organization
DANIEL HUDSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL COWEN HUDSON AO (OWNER)
(334) 335-3697
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51506053
BCBS OF AL
AL
01
—
920212
UNITED CONCORDIA
—
Enumeration date
03/12/2007
Last updated
11/27/2023
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