Provider Demographics
NPI:1518900745
Name:HUDSMITH, STUEART L (DDS)
Entity Type:Individual
Prefix:DR
First Name:STUEART
Middle Name:L
Last Name:HUDSMITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 POPLAR AVE
Mailing Address - Street 2:#11
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-4667
Mailing Address - Country:US
Mailing Address - Phone:901-458-0700
Mailing Address - Fax:901-324-4651
Practice Address - Street 1:3445 POPLAR AVE
Practice Address - Street 2:#11
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-4667
Practice Address - Country:US
Practice Address - Phone:901-458-0700
Practice Address - Fax:901-324-4651
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist