Silas D. Dudley, D.D.S., M.S.D., P.L.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE60231571 Issued in WA

Legal business name

SILAS D. DUDLEY, D.D.S., M.S.D., P.L.L.C.

Practice address

10920 SE 208TH St
Kent, WA 98031-4009

Phone

(253) 852-7331

Fax

(253) 813-3826

NPI assigned

Jul 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Silas D Dudley, DDS, MSD

Title

Owner

Phone

(206) 992-5098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341360000000",
    "number": "1376808402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 SE 208TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314009",
            "telephone_number": "253-852-7331",
            "fax_number": "253-813-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 SE 208TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314009",
            "telephone_number": "253-852-7331",
            "fax_number": "253-813-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILAS D. DUDLEY, D.D.S., M.S.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-04",
        "last_updated": "2012-07-04",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "SILAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-992-5098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60231571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily H M Shultz, MS, CCC-SLP
• Kathryn Shultz, M.S.-SLP
• Avani Sidhu
• Sam Allen Sievertsen
• Gregory Sigrist, CAAC/MHP
• Goldie Silbermann
• David Alexander Silver, DPT
• Stacey Silver
• Jasmine Silverio, MSW
• Danielle Renee Silvernail, OT

• Orthodontics and Dentofacial Orthopedics Dentistry in Kent, WA
• Providers in Kent, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2012; 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.