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Active NPI 1114598208 Individual Practitioner Male Practitioner

Dr. Michael Hudson , DMD

Dentist - General Practice • Edwardsville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hudson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Edwardsville, IL. Practice services are available at 1811 LINDENWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1811 Lindenwood Ave

Edwardsville, IL 620252580

Telephone 6186590456
Associated Practice Facility / Clinic
🏢 Edwardsville Family Dentist Facility NPI 1063899417

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edwardsville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Edwardsville, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.033306

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Rula Amarin , DDS, MS

Dentist - Prosthodontics

NPI 1083285704

Doctor of Dental Surgery, Master of Science

NPI 1568149136

Doctor of Dental Medicine

NPI 1780917823

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2021

Registered at 1811 LINDENWOOD AVE, EDWARDSVILLE, IL 620252580 (Tel: 6186590456)

📍
Updated Business Mailing Address July 08, 2021

Registered at 2424 S 9TH ST APT 310, SAINT LOUIS, MO 631044720 (Tel: 2173617888)

👤
Provider Name / Credentials Updated July 08, 2021

Recorded as MICHAEL HUDSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2021

Dentist (License #019.033306 in IL)

🟢
Initial NPI Registration & Enumeration July 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114598208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2021
Last Update: July 08, 2021
Sole Proprietor: Yes

Mailing Address

2424 S 9th St Apt 310

Saint Louis, MO 631044720

Phone: 2173617888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.