Jagdesh Dudani, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02669500 Issued in NJ

Practice address

630 S Brewster Rd BLDG D
Vineland, NJ 08361-7801

Phone

(609) 805-6938

NPI assigned

Nov 14, 2017

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336652239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N COLUMBUS BLVD APT 611",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061458",
            "telephone_number": "310-717-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S BREWSTER RD BLDG D",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617801",
            "telephone_number": "609-805-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 High St N",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "NJ",
            "postal_code": "083322527",
            "country_code": "US",
            "telephone_number": "609-805-6938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDANI",
        "first_name": "JAGDESH",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02669500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dreamwise Transport (Dreamwise LLC)
• Halle Elisabeth Dreger
• Alexander Drobny
• Stephanie Druzbik, DO
• Perseverance Duche
• William F. Dudley, DMD
• Jan Raphael David Dumanon, PT
• Karen A Duncan, RNC, MSN
• Keith Palac Dungo, D.O.
• Breony Dunn

• Orthodontics and Dentofacial Orthopedics Dentistry in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.