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DR. JOSEPH M. DUDA NPI 1285742270


NPI Information

NPI: 1285742270
Provider Name: DR. JOSEPH M. DUDA
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
150 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801
Phone: (304) 255-1411
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DR. JOSEPH M. DUDA is an oral and maxillofacial surgery clinic center in Beckley, WV. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. JOSEPH M. DUDA NPI is 1285742270. The provider is registered as an organization entity type.

The provider's business location address is:

150 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801-761
Phone: (304) 255-1411
Fax: (304) 255-5111

The provider's authorized official is Joseph Matthew Duda .
The authorized official title is Oral Surgeon and has the following contact phone number (304) 255-1411.

The enumeration date for this NPI number is 8/29/2006 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
1261QS0112XClinic/CenterOral and Maxillofacial Surgery3202WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10138072000MEDICAIDWEST VIRGINIA

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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