NPIMap

Organization Active NPI

Dr Jeffrey Allen Dulude DDS PLC

  • General Practice Dentistry
  • Midland, MI
National Provider Identifier
1043349848
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014397 Issued in MI
Legal business name
DR JEFFREY ALLEN DULUDE DDS PLC
Practice address
314 Northgate Dr
Midland, MI 48640-7348
Phone
(989) 835-7842
Fax
(989) 835-4804
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Jeffrey Allen Dulude, DDSNPI 1558455253
Title
Dentist
Phone
(989) 835-7842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901014397 MI Primary

Addresses

Primary practice location

314 Northgate Dr
Midland, MI 48640-7348

Mailing address

314 Northgate Dr
Midland, MI 48640-7348
Phone (989) 835-7842

National Provider Directory

National Provider Directory

Locations

314 Northgate Dr
Midland, MI 48640
Phone (989) 835-7842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1043349848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NORTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407348",
            "telephone_number": "989-835-7842",
            "fax_number": "989-835-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NORTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407348",
            "telephone_number": "989-835-7842",
            "fax_number": "989-835-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEFFREY ALLEN DULUDE DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "DULUDE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "989-835-7842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.