Kudlik Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

43708 Issued in CA

Legal business name

KUDLIK DENTAL CORPORATION

Practice address

2000 E Chapman Ave
Ste 100
Fullerton, CA 92831-4103

Phone

(714) 526-2860

Fax

(714) 526-6775

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Donald Kudlik, DDS

Title

Dentist

Phone

(714) 526-2860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1396917290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E CHAPMAN AVE",
            "address_2": "STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314103",
            "telephone_number": "714-526-2860",
            "fax_number": "714-526-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E CHAPMAN AVE",
            "address_2": "STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314103",
            "telephone_number": "714-526-2860",
            "fax_number": "714-526-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUDLIK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "KUDLIK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-526-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meyri Luisana Kroell
• Lincoln Dean Krog
• Hope Louise Kroon
• Alexandra Kruip
• Patrick Kuboyama
• Dennis Donald Kudlik, DDS
• Jerry R Kuhn, PH.D.
• Chloe Kumamoto
• Kelsea Marie Kunz
• Michael Kuo, MD

• Dentist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.