DUDLEY KATZ D.D.S.P.C. NPI 1013176395

NPI Information

NPI: 1013176395
Provider Name: DUDLEY KATZ D.D.S.P.C.
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
101 SAINT CLAIRE PL
SUITE 102
STEVENSVILLE, MD
ZIP 21666
Phone: (410) 604-2222
Get Directions

DUDLEY KATZ D.D.S.P.C. is a pediatric dentistry dentist in Stevensville, MD. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DUDLEY KATZ D.D.S.P.C. NPI is 1013176395. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

101 SAINT CLAIRE PL
SUITE 102
STEVENSVILLE, MD
ZIP 21666-171
Phone: (410) 604-2222

The provider's authorized official is Dudley Katz .
The authorized official title is Owner/president and has the following contact phone number (410) 604-2222.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	6206	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	138454600	MEDICAID	MARYLAND

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: 5/5/2024

NPI Synchronization or Removal

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