Stephen Michael Dudek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040935 Issued in NY

Practice address

103 Burrows Rd
Suite 1
West Winfield, NY 13491-2830

Phone

(315) 822-4321

Fax

(315) 822-3284

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649347105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BURROWS RD",
            "address_2": "SUITE 1",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912830",
            "telephone_number": "315-822-4321",
            "fax_number": "315-822-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BURROWS RD",
            "address_2": "SUITE 1",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912830",
            "telephone_number": "315-822-4321",
            "fax_number": "315-822-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Catena, FNP
• Central Leatherstocking Medical, PLLC
• Theresa Crawford, RN
• Crystal M Dibble, LMSW
• Patricia Ann Duciaume Sr., SLP
• Crystal Reba Ferguson, FNP-BC
• Connie Lynn Ann Helmer, RN
• Susan J Huxtable, MA, CCC-SLP
• Gennifer Pole Kalies, M.S. CCC-SLP
• Donald Bruce Knapp, O.D.

• General Practice Dentistry in West Winfield, NY
• Providers in West Winfield, NY by specialty
• General Practice Dentistry in New York

• 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.