Hudec Dental Center of Middleburg Heights, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-015265 Issued in OH

Legal business name

HUDEC DENTAL CENTER OF MIDDLEBURG HEIGHTS, INC.

Doing business as

Hudec Dental

Practice address

18342 Bagley Rd
Cleveland, OH 44130-3411

Phone

(440) 274-5900

Fax

(440) 239-3102

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John A Hudec, D.D.S.

Title

Owner/President

Phone

(216) 485-5788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hudec Dental Doing business as

Locations

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1578861357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093360",
            "telephone_number": "216-485-5788",
            "fax_number": "216-485-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18342 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303411",
            "telephone_number": "440-274-5900",
            "fax_number": "440-239-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDEC DENTAL CENTER OF MIDDLEBURG HEIGHTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "HUDEC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "216-485-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-015265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudec Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Hudak, APRN
• Elaine M Hudak, CNP
• Jennifer Lynn Hudak, MSN
• Nicole Hudak, AUD
• Christina A Huddleston, MS, RD, LD
• Brian J Hudec, DMD
• David E Hudec, DDS
• John A Hudec, DDS
• Justin Hudecek
• Hudepohl Family Dentistry LLC (Hudepohl Kozan Dentistry)

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.