Simeon O. Udunka, DDS, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SIMEON O. UDUNKA, DDS, P.A.

Practice address

241 E FM 1382
Cedar Hill, TX 75104-2145

Phone

(972) 293-8500

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Simeon Udunka, DDS

Title

Practice Owner

Phone

(972) 293-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1417436320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E FM 1382",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042145",
            "telephone_number": "972-293-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E FM 1382",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042145",
            "telephone_number": "972-293-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMEON O. UDUNKA, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "UDUNKA",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "972-293-8500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Cedar Hill, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.