Victor Keith Hudson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010797 Issued in GA

Practice address

5041 Dallas Hwy BLDG 2
Suite B
Powder Springs, GA 30127-6458

Phone

(770) 499-8717

NPI assigned

Dec 19, 2006

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

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 and National Provider Directory roles.

• Ricky Patel DMD LLC

  • Dental Clinic/Center
  • Powder Springs, GA
  • NPI 1508608787
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821151929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 WYNFREY PL SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645023",
            "telephone_number": "770-424-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY BLDG 2",
            "address_2": "SUITE B",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "770-499-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VICTOR",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Horton, FYTM-CES, RYT 200
• Brittany Nicole Horton, APRN, AGPC-C
• Deidre Houghton, OT
• Suandria Houston, LPC
• Ginger Hubbard, M.ED., L.P.C.
• Joseph Ryan Humphries
• Michela Martinique Hunt, PT, DPT
• Nicole Bartman Hutchison, DPT
• Kendall David Hyatt, PHARMD
• Iam Healthcare Services LLC

• General Practice Dentistry in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.