Dudley Katz, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

MD06206 Issued in MD

Practice address

101 St Claire Place
Suite 102
Stevensville, MD 21666

Phone

(410) 604-2222

Fax

(410) 604-6171

NPI assigned

Feb 13, 2007

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dudley Katz D.D.S.P.C.

  • Pediatric Dentistry
  • Stevensville, MD
  • NPI 1013176395
  NPD (past) Authorized official
• Gregory Moffitt DDS LLC

  • General Practice Dentistry
  • Stevensville, MD
  • NPI 1053989509
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1225170681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ST CLAIRE PLACE",
            "address_2": "SUITE 102",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "21666",
            "telephone_number": "410-604-2222",
            "fax_number": "410-604-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ST CLAIRE PLACE",
            "address_2": "SUITE 102",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "21666",
            "telephone_number": "410-604-2222",
            "fax_number": "410-604-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DUDLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "MD06206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138454600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea R Kane Frank, MS, LCPC
• Karen Elizabeth Katrinic, M.S.,LCMFT
• Jennifer Lynn Kelley, M.A., B.C.B.A.
• Kent Island Pharmacy, LLC
• Key Physical Therapy & Sports Rehabilitation
• Deborah Brader Kidwell, LCPC
• Jay S Kimbro, RPSGT

• Pediatric Dentistry in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.