Provider Demographics
NPI:1861671018
Name:HUDSON DENTAL SERVICES PC
Entity Type:Organization
Organization Name:HUDSON DENTAL SERVICES PC
Other - Org Name:NOTHING BUT THE TOOTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-828-1597
Mailing Address - Street 1:117 FAIRVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2322
Mailing Address - Country:US
Mailing Address - Phone:518-828-1597
Mailing Address - Fax:
Practice Address - Street 1:117 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2322
Practice Address - Country:US
Practice Address - Phone:518-828-1597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY037567OtherNYS DENTAL LICENSE