DAVID S. DUDA DDS PC NPI 1801041421

NPI Information

NPI: 1801041421
Provider Name: DAVID S. DUDA DDS PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
534 GREEN BAY RD
KENILWORTH, IL
ZIP 60043
Phone: (847) 251-5136
Get Directions

DAVID S. DUDA DDS PC is a general practice dentist in Kenilworth, IL. 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. DAVID S. DUDA DDS PC NPI is 1801041421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

534 GREEN BAY RD
KENILWORTH, IL
ZIP 60043-801
Phone: (847) 251-5136
Fax: (847) 251-1365

The provider's authorized official is Yvonne Izquierdo .
The authorized official title is Office Cordinator and has the following contact phone number (847) 251-5136.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 11/24/2008.

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	1223G0001X	Dentist	General Practice	019017946	ILLINOIS	Yes

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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