MEDICARE: NEW HUDSON DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1861251837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HUDSON DENTAL PLLC

Provider Business Mailing Address
First Line	:	55840 GRAND RIVER AVE STE 350
Second Line	:
City	:	NEW HUDSON
State	:	MI
Zip	:	48165-9717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	55840 GRAND RIVER AVE STE 350
Second Line	:
City	:	NEW HUDSON
State	:	MI
Zip	:	48165-9717
Country	:	US
Telephone Number	:	248-416-2918
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALVIN DABOUL
Credential	:	DDS
Telephone Number	:	248-866-2828

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	04/09/2024

Similar Medicare Providers

1386775419 — DR. JAMIE GEORGE TAWEEL D.O.
Practice Location Address:

55840 GRAND RIVER AVE STE 300
NEW HUDSON, MI
48165-9717

Practice Phone: 248-676-9060
Practice Fax: 248-684-5550

1134484744 — SARAH E TINSLER DO
Practice Location Address:

55840 GRAND RIVER AVE STE 300
NEW HUDSON, MI
48165-9717

Practice Phone: 313-803-5917
Practice Fax:

1710341102 — SMILES OF GRAND RIVER PLLC
Practice Location Address:

55840 GRAND RIVER AVE , SUITE 350
NEW HUDSON, MI
48165-9717

Practice Phone: 734-707-8764
Practice Fax:

1649987488 — KAILEY EVASIC PA
Practice Location Address:

55840 GRAND RIVER AVE STE 300
NEW HUDSON, MI
48165-9717

Practice Phone: 248-264-6169
Practice Fax:

1679645873 — CITY OF HUDSON
Practice Location Address:

200 WATERLOO RD.
HUDSON, IA
50643-9717

Practice Phone: 319-988-3322
Practice Fax: 319-988-3247

1811708878 — SMARTCARE HOME CARE LLC.
Practice Location Address:

9717 HIGHLAND RIDGE DR
HUDSON, FL
34667-4247

Practice Phone: 352-217-0074
Practice Fax:

Directions to “NEW HUDSON DENTAL PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.