ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC


Address: 516 Vance Ave, Memphis, TN 38126-2117
Phone: 9015264442

ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC (NPI# 1063685501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063685501
Entity Type Organization
Organization Name ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC
Practice Address 516 Vance Ave
Memphis
TN 38126-2117
Practice Telephone 9015264442
Practice Fax Number 9015268523
Mailing Telephone 9015264442
Mailing Fax Number 9015268523
Enumeration Date 2008-04-04
Last Update Date 2008-06-18
Authorized Official Name DR. ROY ADRAIN HUDSON III (OWNER/DENTIST)
Authorized Official Telephone 9015264442
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS0000007059 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3202421 05

Office Location

Street Address 516 VANCE AVE
City MEMPHIS
State TN
Zip Code 38126-2117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871578518 Roy Adrain Hudson IIi Dentist 516 Vance Ave, Memphis, TN 38126-2117 2005-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427287184 Odessa A. Williamson Social Worker 694 Williams St., Memphis, TN 38126 2009-07-02
1407074719 Shannon E Johnson Counselor 427 Linden, Ave, Memphis, TN 38126 2007-04-23
1679797062 Janice Rene Smith Counselor 427 Linden Avenue, Memphis, TN 38126 2007-04-13
1144236902 Memphis Health Center, Inc. Clinic/Center 360 E H Crump Blvd, Memphis, TN 38126 2006-08-01
1598989709 Rhonda L. Mccloude Counselor 427 Linden Ave, Memphis, TN 38126 2007-04-12
1366502148 Sharikia S Harris Dentist 360 E H Crump Blvd, Memphis, TN 38126 2006-12-11
1316040447 Memphis Health Center, Inc Pharmacy 360 E H Crump Blvd, Memphis, TN 38126 2006-09-06
1275785537 Odessa's Foster Care Home, Inc. Foster Care Agency 694 Williams, Memphis, TN 38126-0001 2008-10-17
1508072760 Lamarcus Wingate Student in an Organized Health Care Education/Training Program 255 S Dunlap St # 230, Memphis, TN 38126-1801 2007-05-15
1437112026 Dva Renal Healthcare Inc Clinic/Center 889 Dr Ml King Jr Ave, Memphis, TN 38126-1928 2006-04-06
Find all providers in zip 38126

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497361596 Crosstown Dental Group Highland Row LLC Dentist 431 S Highland St Ste 115, Memphis, TN 38111-1633 2020-09-23
1922626019 Randy Bagay Dentist 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 2020-07-06
1780200279 Taylor Rae Vracar Dentist 875 Union Ave Ste 301, Memphis, TN 38103-3513 2020-06-19
1063982957 Jasmine Copelanddds Dentist 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 2018-12-04
1770075681 Bellano East Memphis, Pllc Dentist 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 2018-06-06
1992200364 Lauren Alyssia Henderson Dentist 5180 Park Ave Ste 210, Memphis, TN 38119-3530 2018-03-28
1598123986 James F Proctor Dds Pa Dentist 1655 International Drive, Suite 203, Memphis, TN 38120-1436 2016-02-01
1497140008 Tennessee Dental Professionals PC Dentist 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 2015-03-31
1255760385 Tennessee Dental Professionals PC Dentist 370 Colonial Road, 3, Memphis, TN 38117 2013-11-08
1457793929 Acadia Helath LLC Dentist 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 2013-07-24
Find all providers in MEMPHIS

Competitor

Search similar providers

City MEMPHIS
Zip Code 38126

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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