Cristian Tudor, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858145 Issued in MA

Practice address

1 Technology Park Dr
Bourne, MA 02532-8336

Phone

(508) 759-2724

NPI assigned

Jul 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Hingham Shipyard Family Dental

  • Dentist
  • Hingham, MA
  • NPI 1316586548
  NPD Authorized official
• Avita Dental Associates PLLC

  • General Practice Dentistry
  • Bourne, MA
  • NPI 1831061662
  NPD (past)

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1225412018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PARK DR",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025328336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PARK DR",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025328336",
            "telephone_number": "508-759-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "CRISTIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-12",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL12634",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Drury Tillson, P.T.
• TLC Home Care, Inc.
• Town of Bourne
• Marybeth Truran, MA
• Michael H Truscott, D.M.D.
• Turning Point Counseling Associates Inc
• Upper Cape Cod RVT School
• Melanie A Vail, M.S., CCC-A
• Helle Svava Valenzano, COTA
• Victoria M. Camaya, MD PC

• General Practice Dentistry in Bourne, MA
• Providers in Bourne, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.