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JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC NPI 1619061504


NPI Information

NPI: 1619061504
Provider Name: JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC

Other Name: LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
172 MT PLEASANT RD
NEWTOWN, CT
ZIP 06470
Phone: (203) 426-0045
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JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC is a general practice dentist in Newtown, CT. The provider is 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. JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC NPI is 1619061504. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Llc.

The provider's business location address is:

172 MT PLEASANT RD
NEWTOWN, CT
ZIP 06470
Phone: (203) 426-0045
Fax: (203) 270-1555

The provider's authorized official is John A Dudley .
The authorized official title is Owner Dentist and has the following contact phone number (203) 426-0045.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice8304CONNECTICUTNo
21223G0001XDentistGeneral Practice9004CONNECTICUTNo
31223G0001XDentistGeneral Practice5576CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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