Dudley Katz D.D.S.P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6206 Issued in MD

Legal business name

DUDLEY KATZ D.D.S.P.C.

Practice address

101 Saint Claire PL
Suite 102
Stevensville, MD 21666-2171

Phone

(410) 604-2222

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dudley Katz, D.D.S.NPI 1225170681

Title

Owner/President

Phone

(410) 604-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dudley Katz, DDS

  • Pediatric Dentistry
  • Stevensville, MD
  • NPI 1225170681
  NPD (past) Authorized official
• Gregory Scott Moffitt, DDS

  • General Practice Dentistry
  • Stevensville, MD
  • NPI 1073785424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1013176395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAINT CLAIRE PL",
            "address_2": "SUITE 102",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662171",
            "telephone_number": "410-604-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT CLAIRE PL",
            "address_2": "SUITE 102",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662171",
            "telephone_number": "410-604-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDLEY KATZ D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-604-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138454600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Denne, PHARMD
• Stephanie Disque
• Julie Lyn Dixon, L.C.P.C.
• Fariba Djangali, PT
• Deborah Dudas, PT
• Evergreen Therapy LLC (Evergreen Therapy)
• Malley K Hester Everngam, LCSW-C
• Melissa Irene Farrelly, MS, BCBA
• John Earl Fish, D.C
• Maureen Flanagan, SLP

• Pediatric Dentistry in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.