DR. ROY ADRAIN HUDSON III (NPI# 1871578518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871578518 |
| Entity Type | Individual |
| Full Name | DR. ROY ADRAIN HUDSON III |
| Credential | D.D.S. |
| 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 | 2005-12-14 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS0000007059 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNCARE PROVIDER NUMBER | 0004699 | 01 |
| TN | 3202421 | 05 |
| Street Address |
516 VANCE AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38126-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063685501 | Roy A Hudson IIi Dds Vance Avenue Dental Clinic | Dentist | 516 Vance Ave, Memphis, TN 38126-2117 | 2008-04-04 |
| 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 Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016796 | John Jafarian | Dentist | Department of Periodontology 875 Union Avenue, Memphis, TN 38163-0001 | 2019-11-01 |
| 1689221152 | Dental Sleep Solutions Memphis Pllc | Dentist | 6389 N Quail Hollow Rd Ste 202, Memphis, TN 38120-1427 | 2019-08-20 |
| 1811540644 | Jane Nathanielle Moore | Dentist | 875 Union Ave Dunn Bldg Rm 502c, Memphis, TN 38163-0001 | 2019-07-21 |
| 1972096998 | Binal Jagadish Patel | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-13 |
| 1952894909 | Richard Anthony Law | Dentist | 875 Union Ave Dept of Orthodontics, Memphis, TN 38163-0001 | 2018-06-13 |
| 1497283691 | David Calvin Harris | Dentist | 6425 N Quail Hollow Rd Ste 101, Memphis, TN 38120-1438 | 2017-06-01 |
| 1427581057 | Ashley Hutchison | Dentist | 70 River Heights Dr Apt 304, Memphis, TN 38103-6970 | 2017-04-10 |
| 1790238533 | Fnu Sufia Kazima | Dentist | 3068 Covington Pike Ste 2, Memphis, TN 38128-5001 | 2016-07-28 |
| 1972958288 | Paul N. Gregory Jr. | Dentist | Univ of Tn College of Dentistry, 875 Union Ave., Memphis, TN 38163-0001 | 2016-04-25 |
| 1184083420 | Dove Family Dentistry - Bennington Pllc | Dentist | 5144 Riverdale Rd Ste 106, Memphis, TN 38141-0271 | 2016-02-15 |
| Find all providers in MEMPHIS | ||||
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| 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.