Thomas James Dudley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3715 Issued in WI

Practice address

N84W15959 Appleton Ave
Menomonee Falls, WI 53051-3044

Phone

(262) 251-6555

Fax

(262) 251-9518

NPI assigned

Dec 21, 2006

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

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.

• Brian a. Stark, D.D.S., S.C.

  • Dental Clinic/Center
  • Menomonee Falls, WI
  • NPI 1609930627
  NPD (past)
• Eyad Bittar DDS LLC

  • Dentist
  • Menomonee Falls, WI
  • NPI 1497343362
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629132634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W126N6462 WILLOW CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518300",
            "telephone_number": "262-252-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N84W15959 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513044",
            "telephone_number": "262-251-6555",
            "fax_number": "262-251-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Drews, SLP
• John D Drexler, MSW
• Elaine Dridi, R.PH.
• Kathryn M. Droese, PT
• Melanie Dubnicka, PT, DPT
• Nicole B Duernberger, DPT
• Mary Helen Dummert, PT
• Andrea Dunk, AU D
• John D Dunne, H.I.S.
• Mark J. Dykstra, M.D.

• General Practice Dentistry in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.