Roy a Hudson III DDS Vance Avenue Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000007059 Issued in TN

Legal business name

ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC

Practice address

516 Vance Ave
Memphis, TN 38126-2117

Phone

(901) 526-4442

Fax

(901) 526-8523

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roy Adrain Hudson III, DDSNPI 1871578518

Title

Owner/Dentist

Phone

(901) 526-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Roy Adrain Hudson III, D.D.S.

  • Dentist
  • Memphis, TN
  • NPI 1871578518
  NPD (past) Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1063685501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VANCE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381262117",
            "telephone_number": "901-526-4442",
            "fax_number": "901-526-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VANCE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381262117",
            "telephone_number": "901-526-4442",
            "fax_number": "901-526-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ADRAIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "901-526-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000007059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202421",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris C Rowland, DDS
• Daisy Caroline Rowland, LPN
• Joseph Perry Rowland Jr., MD
• Baylee Elizabeth Ann Rownd
• Perrin Rowsey, DPH
• Roy C. Page
• Karen Roy, LCSW
• Royal Haven Mobility Solutions LLC
• Royal Transportation Service
• Caroline A. Royal-Evans, M.S., CCC, BC-ANCDS

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, 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 Jun 18, 2008; 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.