Roy Adrain Hudson is a Dentist in Memphis, Tennessee. Roy Adrain Hudson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roy Adrain Hudson is 1871578518. The last update date is 2008-06-18.
Roy Adrain Hudson's current location address is 516 Vance Ave, Memphis, Tennessee. You can contact this provider via phone number 9015264442 and fax number 9015268523. The mailing address for Roy Adrain Hudson is 516 Vance Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roy Adrain Hudson |
|---|---|
| Address | 516 Vance Ave, Memphis, Tennessee |
| Phone Number | 9015264442 |
| Fax Number | 9015268523 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871578518 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 516 Vance Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381262117 |
| Phone Number | 9015264442 |
| Fax Number | 9015268523 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS0000007059 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3202421 | TN | -- | |
| 4699 | TN | TENNCARE PROVIDER NUMBER |
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What is the unique 10-digit identification code assigned to Roy Adrain Hudson by the Centers for Medicare & Medicaid Services?
The Roy Adrain Hudson has been issued the NPI (National Provider Identifier) 1871578518, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Roy Adrain Hudson located?
The Roy Adrain Hudson is located at 516 Vance Ave, Memphis, TN 381262117.
What is the Roy Adrain Hudson's specialty and taxonomy code?
The Roy Adrain Hudson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Roy Adrain Hudson receive the assignment of its 1871578518 from the Centers for Medicare & Medicaid Services?
The Roy Adrain Hudson was issued its 1871578518 by the Centers for Medicare & Medicaid Services on 2005-12-14.
When was the Roy Adrain Hudson's information last updated?
The Roy Adrain Hudson's information was last updated on 2008-06-18.