John M. Hudon, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN12161 Issued in FL

Practice address

101 Lecom Way
Defuniak Springs, FL 32435-6323

Phone

(850) 951-0200

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Erie College of Osteopathic Medicine

  • General Practice Dentistry
  • Defuniak Springs, FL
  • NPI 1710422670
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1467585000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 GULF BLVD APT 1002",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667293",
            "telephone_number": "334-332-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LECOM WAY",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356323",
            "telephone_number": "850-951-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 N Dean Rd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368304033",
            "country_code": "US",
            "telephone_number": "334-466-2021",
            "fax_number": "334-466-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDON",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Howell
• Howells Assisted Living Facility # 1
• Howells Assisted Living Facility # 2
• Tammy Howerton, PA-C
• Thomas S Huberty, LMHC
• Sheri Hundley
• Kim Evelyn Hydle, OTR/L
• Iclient Personal Support Services LLC
• Institute of Medical Excellence
• Kayla Ann Jackson, RN

• Periodontics in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.