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DR. GARY W HUDSON D.M.D. M.D. NPI 1447214424


NPI Information

NPI: 1447214424
Provider Name: DR. GARY W HUDSON, D.M.D., M.D.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1105 EAGLETREE LN SE
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 882-7873
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DR. Gary W Hudson, D.M.D., M.D. is an oral maxillofacial surgery in Huntsville, AL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Gary W Hudson, D.M.D., M.D. NPI is 1447214424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1105 EAGLETREE LN SE
HUNTSVILLE, AL
ZIP 35801-447
Phone: (256) 882-7873
Fax: (256) 882-7874

The NPI 1447214424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/14/2006 and was last updated on 10/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery3677ALABAMANo
2204E00000XOral & Maxillofacial Surgery12133ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1760775732OTHERALABAMAAMERITAS
2760775732OTHERALABAMAPRINCIPAL
3760775732OTHERALABAMADELTA DENTAL
4760775732OTHERALABAMAGUARDIAN
5760775732OTHERALABAMAWASHINGTON DENTAL
6760775732OTHERALABAMAMAIL HANDLERS
7760775732OTHERALABAMASOUTHLAND
8760775732OTHERALABAMAJARDINES
9760775732OTHERALABAMAAETNA
10760775732OTHERALABAMACIGNA
1151000927OTHERALABAMABLUE CROSS BLUE SHIELD AL
12720892OTHERALABAMAUNITED CONCORDIA
13760775732OTHERALABAMANAMCI
14C70141MEDICARE UPINALABAMA
15051555897MEDICARE ID-TYPE UNSPECIFIEDALABAMA
16008606360MEDICAIDALABAMA
17760775732OTHERALABAMAMETLIFE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.