W. J. Dudley Denture Consultants

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

W. J. DUDLEY DENTURE CONSULTANTS

Doing business as

professional denture clinic

Practice address

4354 Pines Rd
Shreveport, LA 71119-7738

Phone

(318) 635-1970

Fax

(318) 635-1972

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Erinn Pumphrey Dudley

Title

Bookkeper

Phone

(318) 422-0397

Specialties & licenses 1

Addresses

Other names 1

• professional denture clinic Doing business as

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1295380418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197738",
            "telephone_number": "318-635-1970",
            "fax_number": "318-635-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197738",
            "telephone_number": "318-635-1970",
            "fax_number": "318-635-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 us hwy 59",
            "address_purpose": "LOCATION",
            "city": "Garrison",
            "state": "TX",
            "postal_code": "75946",
            "country_code": "US",
            "telephone_number": "800-235-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "W. J. DUDLEY DENTURE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ERINN",
        "authorized_official_middle_name": "PUMPHREY",
        "authorized_official_title_or_position": "BOOKKEPER",
        "authorized_official_telephone_number": "318-422-0397",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "professional denture clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Jon Voss, PT
• Shriya Vudari
• Sireesha Vutukuri, MD
• Aditya Vyas, MD, MBBS
• Rahul Pradeep Vyas
• W. Ronald Skowsky, MD. LLC.
• Comis Waddell
• David D Waddell, MD
• Raina Waddell
• Jennifer Haley Waddle, WHCNP

• Dental Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.