E H Dudley, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000009633 Issued in TN

Legal business name

E H DUDLEY, DDS, PLLC

Doing business as

Aspen Dental

Practice address

1119 Vann Dr
Jackson, TN 38305-6098

Phone

(731) 660-8981

Fax

(731) 660-7398

NPI assigned

Jan 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elliott Hodges Dudley, DDS

Title

Owner

Phone

(731) 660-8981

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peyton Blair Taylor, RDH

  • Dental Hygienist
  • Jackson, TN
  • NPI 1558005850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1043676604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 VANN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056098",
            "telephone_number": "731-660-8981",
            "fax_number": "731-660-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E H DUDLEY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "HODGES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-660-8981",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000009633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A Dye, PT
• Angela Marie Dyer, OT
• Jeffrey N Dyer, PHYSICAL THERAPIST
• Lisa J Dyer, DNP, APRN, FNP-BC
• Dyersburg Kidney Clinic, Inc
• Each1 Personal Care Services
• Allison Ealey
• James Tyler Earls, RN
• Cynthia A Early, FNP
• Brent Edward Earwood, CRNA

• General Practice Dentistry in Jackson, TN
• Providers in Jackson, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.