Hudson, Roy Adrain

Hudson, Roy Adrain is an sole proprietor health care provider with primary practice located at 516 Vance Ave , Memphis TN 38126-2117. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hudson, Roy Adrain can be contacted via phone (901) 526-4442.

Contact Information

Primary practice address
516 Vance Ave Memphis TN 38126-2117
Phone: (901) 526-4442
Fax: (901) 526-8523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS0000007059 Tennessee

Profile Details

NPI number 1871578518
LBN Legal business name Hudson, Roy Adrain
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Jun 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871578518 NPPES
Tennessee MEDICAID 3202421
Tennessee Other 0004699

Popular Providers