Dr John W Hudson, DDS is a
Oral & Maxillofacial Surgery based in Knoxville, Tennessee. Dr John W Hudson is licensed to practice in Tennessee (license number DS006030) and his current practice location is
1930 Alcoa Hwy, Ste 335, Knoxville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(865) 544-9021.
NPI number for Dr John W Hudson is 1922020379 and his current mailing address is 1930 Alcoa Hwy, Ste 335, Knoxville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922020379.
Healthcare Provider's Profile
| Full Name | Dr John W Hudson |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 1930 Alcoa Hwy, Knoxville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922020379
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 04/17/2008
Medical Identifiers
Medical identifiers for Dr John W Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922020379 | NPI | - | NPPES |
| 0005113 | Other | IA | ASSURANT EMPLOYEE BENEFIT |
| 732022 | Other | UT | DENTAL BEN. PROV. OFFC 2 |
| 199846 | Other | TN | CIGNA DENTAL DMO OFFC 3 |
| TN0103 | Other | TN | AMERICHOICE TENNCARE O-2 |
| 199845 | Other | TN | CIGNA DENTAL DMO OFFC 2 |
| 0015837 | Other | | BLUE CROSS BLUE SHIELD |
| 199846 | Other | TN | CIGNA DENTAL PPO OFFC3 |
| 1211270 | Other | TN | CIGNA DENTAL DMO OFFC 1 |
| 3224723 | Medicaid | TN | |
| 621199959 | Other | TN | CIGNA DENTAL PPO |
| 732023 | Other | UT | DENTAL BEN. PROV. OFFC 3 |
| 64777451 | Other | KY | KENTUCKY MEDICAID |
| TN0102 | Other | TN | AMERICHOICE TENNCARE O-1 |
| TN0104 | Other | TN | AMERICHOICE TENNCARE O-3 |
| 199845 | Other | TN | CIGNA DENTAL PPO OFFC 2 |
| 732021 | Other | UT | DENTAL BEN. PROV. OFFC 1 |
| DS006030 | Other | TN | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS006030 (Tennessee) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DS006030 (Tennessee) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 2901014026 (Michigan) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | CERTIFICATE (California) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | CERTIFICATE (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John W Hudson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John W Hudson, DDS
1930 Alcoa Hwy, Ste 335,
Knoxville, TN 37920-1500
Ph: (865) 544-9021 | Dr John W Hudson, DDS
1930 Alcoa Hwy, Ste 335,
Knoxville, TN 37920-1500
Ph: (865) 544-9021 |
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