E H Dudley, DDS, PLLC
General Practice Dentistry · Jackson, TN
Practice location
1119 Vann DrJackson, TN 38305-6098
- Phone
- (731) 660-8981
- Fax
- (731) 660-7398
NPI record
- NPI
- 1043676604
- Entity type
- Organization (Type 2)
- Enumeration date
- January 12, 2016
- Last updated
- January 12, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DS0000009633 | TN |
Mailing address
PO Box 3189Syracuse, NY 13220-3189
- Phone
- (315) 454-6000
- Fax
- (315) 410-5531
Authorized official
- Name
- Elliott Hodges Dudley, DDS
- Title
- Owner
- Phone
- (731) 660-8981
Other names
- Aspen Dental
About E H Dudley, DDS, PLLC
E H Dudley, DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1119 Vann Dr, Jackson, TN 38305-6098. The NPI number 1043676604 was assigned on January 12, 2016 and the record was last updated on January 12, 2016.
E H Dudley, DDS, PLLC lists a license in the registry: #DS0000009633 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Elliott Hodges Dudley, DDS, Owner.
Frequently asked questions
What is the NPI number of E H Dudley, DDS, PLLC?
The NPI number is 1043676604.
What is the phone number of E H Dudley, DDS, PLLC?
The phone number listed for the practice location is (731) 660-8981.
Where is E H Dudley, DDS, PLLC located?
1119 Vann Dr, Jackson, TN 38305-6098.
What is the taxonomy code for E H Dudley, DDS, PLLC?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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