Emilee Dudley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35175 Issued in TX

Practice address

507 N 3Rd St
Mabank, TX 75147-8328

Phone

(903) 603-4406

NPI assigned

Jun 21, 2019

Last updated

Jun 21, 2019By the provider in NPPES

Sex

Female

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

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.

• Magnolia Dental

  • Dental Clinic/Center
  • Mabank, TX
  • NPI 1699277228
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1356902357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 MORNINGSIDE CT",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502974",
            "telephone_number": "208-521-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N 3RD ST",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751478328",
            "telephone_number": "903-603-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "EMILEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Colwell Hale, MS CCC-SLP
• Counseling Solutions
• Breanne Michelle Crow, MA LPC-A
• Misti Crowsey, BASE. QMHP,CC
• Dewayne L Chapman (Mabank Family Pharmacy)
• Eunice Nadine Hall (Mabank Nursing Home)
• Katie Farmer
• Melissa Lee Fedran
• Gaddis Chiropractic PC
• Jeffrey Bryant Gaddis, D.C.

• Dentist in Mabank, TX
• Providers in Mabank, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.