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Provider Information for 1518031772

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DALE WAYNE HUDSON D.D.S.

Gender: MALE

Individual NPI: 1518031772

Calendar   Last Updated:  2019-07-30
  Certification Date: 

Details

Name Value
NPI 1518031772
Enumeration Date 2006-11-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 10200 E GIRARD AVE STE A209
DENVER, CO 80231-5503
United States

Phone: 303-773-2695 | Fax: 303-721-6140
View Map External Link
Primary Practice Address 10200 E GIRARD AVE STE A209
DENVER, CO 80231
United States

Phone: 303-773-2695 | Fax: 303-721-6140
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CO 100957