Donald Paul Hudson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3466 Issued in NH

Practice address

435 York St
York Harbor, ME 03911

Phone

(207) 363-2166

Fax

(207) 363-1034

NPI assigned

Jan 9, 2007

Last updated

Aug 22, 2023By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter John Wilson DMD PLLC

  • General Practice Dentistry
  • York Harbor, ME
  • NPI 1598223000
  NPD (past)
• York Dental Group LLC

  • General Practice Dentistry
  • York Harbor, ME
  • NPI 1265973135
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1811046873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "YORK HARBOR",
            "state": "ME",
            "postal_code": "039111108",
            "telephone_number": "207-363-2166",
            "fax_number": "207-363-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 YORK ST",
            "city": "YORK HARBOR",
            "state": "ME",
            "postal_code": "03911",
            "telephone_number": "207-363-2166",
            "fax_number": "207-363-1034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 West St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034312446",
            "country_code": "US",
            "telephone_number": "603-352-1913",
            "fax_number": "603-352-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "611493789",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313901",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas J. Gray, DDS
• Peter John Wilson DMD PLLC
• St. Georges Childcare Center
• York Dental Group LLC

• General Practice Dentistry in York Harbor, ME
• Providers in York Harbor, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.