Jeffrey A Dulude, DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014397 Issued in MI

Practice address

314 Northgate Drive
Midland, MI 48640

Phone

(989) 835-7842

Fax

(989) 835-4804

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Dr Jeffrey Allen Dulude DDS PLC

  • General Practice Dentistry
  • Midland, MI
  • NPI 1043349848
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1558455253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NORTHGATE DRIVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-835-7842",
            "fax_number": "989-835-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NORTHGATE DRIVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-835-7842",
            "fax_number": "989-835-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULUDE",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS  PLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "382954963",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann-Marie Dufort, PHARMACY TECHNICIAN
• Tamra L Dufort, LLBSW
• Janis Weaver Duke, LPC
• Allison Joanne Duley, PT, DPT
• Ann E Dull, PT
• Michael P. Dunleavy, MD
• Johnathan Lee Duperon
• Brody Dupuis
• Delaney Kim Dupuis, LMSW
• Marianne P. Durocher, LMSW SSW IMH-E (III)

• General Practice Dentistry in Midland, MI
• Providers in Midland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.