Dudley M. Pang, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55787 Issued in CA

Legal business name

DUDLEY M. PANG, DDS, INC.

Practice address

106 W Alexander Ave
Merced, CA 95348-3410

Phone

(209) 722-3907

Fax

(209) 383-4603

NPI assigned

May 19, 2009

Last updated

May 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dudley Marvin Pang, DDSNPI 1457546921

Title

Ceo

Phone

(909) 499-1738

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dudley Marvin Pang, DDS

  • General Practice Dentistry
  • Merced, CA
  • NPI 1457546921
  NPD (past) Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1396970471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 LOZANO PL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543972",
            "telephone_number": "909-499-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483410",
            "telephone_number": "209-722-3907",
            "fax_number": "209-383-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDLEY M. PANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-499-1738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Rose Drake, NP
• Eve Michele Dreyfus, M.D.
• DRS. Ahmed Salem and Waleed Soliman Dental Corporation (Merced Kids Dentist and Orthodontics)
• Drug Pharm Inc. (El Portal Pharmacy)
• Jennifer K Duda, RN
• Jennifer Marie Duncan
• Tamika Dungy
• Genevieve Louise Dunlap, CADCII
• Kayla D Duque
• Temmy Ann Limon Duque, RPH

• General Practice Dentistry in Merced, CA
• Providers in Merced, 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 May 19, 2009; 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.