Colin Blair Dudzinski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7611 Issued in NE

Practice address

3423 S 72ND St
Omaha, NE 68124-3573

Phone

(402) 341-5306

Fax

(402) 346-1905

NPI assigned

May 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dudzinski Dental PC

  dba New Image Dentistry

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1457984817
  NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1609499300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243573",
            "telephone_number": "402-341-5306",
            "fax_number": "402-346-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243573",
            "telephone_number": "402-341-5306",
            "fax_number": "402-346-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17404 Burke St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681182242",
            "country_code": "US",
            "telephone_number": "402-493-2112",
            "fax_number": "402-493-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3331 Market Place Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515018287",
            "country_code": "US",
            "telephone_number": "712-366-7077",
            "fax_number": "712-366-6925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDZINSKI",
        "first_name": "COLIN",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Dudley, MS, LMHP, LPC
• Dudzinski Dental Corp. (Mapleview Dentistry)
• Dudzinski Dental PC (New Image Dentistry)
• Dudzinski Dental PC (New Image Dentistry at Village Pointe)
• Bernard Paul Dudzinski, DDS
• Jordan Dudzinski, D.D.S.
• Logan T Dudzinski, D.D.S.
• Austin Duerksen, PA-C
• Deborah D Duerr, LCSW
• Kaitlyn Jenae Duerst, DNP, APRN

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.