R. Paul Vidunas Jr. DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

R. PAUL VIDUNAS JR. DMD, PC

Practice address

313 Market St
Mifflinburg, PA 17844-1309

Phone

(570) 966-1511

NPI assigned

Mar 3, 2020

Last updated

Mar 3, 2020By 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. Richard Paul Vidunas Jr., DMDNPI 1043391006

Title

Dentist/Owner

Phone

(570) 966-1511

Specialties & licenses 1

Addresses

Locations

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.

• Richard Paul Vidunas Jr., DMD

  • General Practice Dentistry
  • Mifflinburg, PA
  • NPI 1043391006
  NPD (past) Authorized official
• David Edward Vitunac, DMD

  • General Practice Dentistry
  • Mifflinburg, PA
  • NPI 1518582667
  NPD

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1194350850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MARKET ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441309",
            "telephone_number": "570-966-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MARKET ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441309",
            "telephone_number": "570-966-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. PAUL VIDUNAS JR. DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "VIDUNAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "570-966-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Senior Helpers

• General Practice Dentistry in Mifflinburg, PA
• Providers in Mifflinburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.