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ASPEN DENTAL
NPI 1043676604
Dentist - General Practice in Jackson, TN

Active since January 12, 2016
1119 VANN DR, JACKSON, TN 38305(731) 660-8981(731) 660-7398 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aspen Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASPEN DENTAL (NPI 1043676604) is a healthcare organization registered as a general practice in Jackson, Tennessee and active in the NPI registry since January 2016. The organization lists Elliott Hodges Dudley, Owner, as its authorized official.

NPPES Registry Identity

NPI1043676604
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameE H DUDLEY, DDS, PLLC
Location Address1119 VANN DRJackson, TN 38305-6098
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (315) 454-6000 · Fax (315) 410-5531
Phone(731) 660-8981
Fax(731) 660-7398
Organization SubpartNo
Authorized OfficialElliott Hodges DudleyOwner · (731) 660-8981
Enumeration DateJanuary 12, 2016
✔ NPI 1043676604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS0000009633
Definition
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.
1119 VANN DR, Jackson, TN 38305
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Other Names 1

Doing Business AsAspen Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELLIOTT HODGES DUDLEY D.D.S.
Dentist
1119 VANN DR
JACKSON, TN 38305
Madison County (731) 300-2447
DR. RAVI MAHESH PATEL DDS
Dentist
1119 VANN DR
JACKSON, TN 38305
Madison County (731) 256-3011
MRS. PEYTON BLAIR TAYLOR RDH
Dental Hygienist
1119 VANN DR
JACKSON, TN 38305
Madison County (731) 660-8981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E H Dudley, Dds, PLLC's NPI number?

The NPI number for E H Dudley, Dds, PLLC is 1043676604. It was assigned to this organization in the NPPES registry on January 12, 2016. The provider is doing business as Aspen Dental.

Where is E H Dudley, Dds, PLLC located?

E H Dudley, Dds, PLLC is located at 1119 Vann Dr, Jackson, TN 38305. The listed phone number is (731) 660-8981.

What is E H Dudley, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does E H Dudley, Dds, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list E H Dudley, Dds, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for E H Dudley, Dds, PLLC was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.