Gary Alan Dudar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS034836 Issued in CA

Practice address

240 S Hickory St
Suite 200
Escondido, CA 92025-4355

Phone

(760) 743-8131

Fax

(760) 743-8137

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1295945723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SOUTH HICKORY ST.",
            "address_2": "SUITE 200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254357",
            "telephone_number": "760-743-8131",
            "fax_number": "760-743-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S HICKORY ST",
            "address_2": "SUITE 200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254355",
            "telephone_number": "760-743-8131",
            "fax_number": "760-743-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDAR",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DS034836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Elizabeth Draves
• Eric J Drimmer, MD
• Katherine Driscoll, IMFT
• Jane Drost
• Gigi Marianna Drummond
• Maya Dudinova, RN
• Eduardo Valentin Duenas
• Steven Albert Duenas, PT/DPT/CSCS
• Amy Dugan
• Regina Lynn Duke

• General Practice Dentistry in Escondido, CA
• Providers in Escondido, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.