Duda Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19017946 Issued in IL

Legal business name

DUDA DENTAL ASSOCIATES LLC

Practice address

534 Green Bay Rd
Kenilworth, IL 60043-1801

Phone

(847) 251-5136

Fax

(847) 251-1365

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Yvonne Izquierdo

Title

Office Manager

Phone

(847) 251-5136

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1083026652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 GREEN BAY RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431801",
            "telephone_number": "847-251-5136",
            "fax_number": "847-251-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 GREEN BAY RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431801",
            "telephone_number": "847-251-5136",
            "fax_number": "847-251-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDA DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-251-5136",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19017946",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Levitan Dani, DDS
• David S. Duda DDS PC
• Lauren Detjen, FNP-BC
• Paul Finly Detjen, MD
• Jennifer L. Dressler, MA
• David S Duda, DDS PC
• Michael S Duda, DDS
• Ekta Duggal, APRN-FNP
• Eye2Eye
• Eyes on the Lake, PC

• General Practice Dentistry in Kenilworth, IL
• Providers in Kenilworth, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.