Hudoba Dental 1, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30.024450 Issued in OH

Legal business name

HUDOBA DENTAL 1, INC

Doing business as

Premier Dental of Sunbury

Practice address

169 Oh-3
Sunbury, OH 43074

Phone

(614) 450-0025

NPI assigned

Jun 20, 2016

Last updated

Jun 20, 2016By 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. Douglas Hudoba, D.D.S.NPI 1306225727

Title

Owner/Dentist

Phone

(614) 450-0025

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental of Sunbury Doing business as

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.

• Douglas Hudoba, D.D.S.

  • Dentist
  • Sunbury, OH
  • NPI 1306225727
  NPD (past) Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1194175240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 ELKS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141709",
            "telephone_number": "614-450-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 OH-3",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "43074",
            "telephone_number": "614-450-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDOBA DENTAL 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "HUDOBA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "614-450-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental of Sunbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Havenpoint Home Care LLC
• Reagan Helmke
• Angela Laurene Hill
• Eric Hoogeveen
• Jillian Huber, DPT
• Douglas Hudoba, D.D.S.
• Lori Ann Huggins
• Karen R Hughes, FNP-C
• Hillman H Hum, MD
• Christina Ann Hutalski, LPN

• Dentist in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.