Organization Active NPI

Dudum Dental Inc

  • Endodontics
  • Petaluma, CA
National Provider Identifier
1154275741
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DUDUM DENTAL INC
Practice address
1436 Professional Dr Ste 304
Petaluma, CA 94954-6697
Phone
(707) 763-2170
NPI assigned
Feb 23, 2026
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DUDUM DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

1436 Professional Dr Ste 304
Petaluma, CA 94954-6697

Mailing address

1436 Professional Dr Ste 304
Petaluma, CA 94954-6697

National Provider Directory

National Provider Directory
Tax ID family
Dudum Dental Inc2 organizations share this tax ID, including this one
Part of
Dudum Dental Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1436 Professional Dr
Ste 304
Petaluma, CA 94954
Phone (707) 763-2170

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1154275741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 PROFESSIONAL DR STE 304",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 PROFESSIONAL DR STE 304",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546697",
            "telephone_number": "707-763-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDUM DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUDUM DENTAL INC",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.