Gerald G. Udler, D.M.D., P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11348 Issued in MA

Legal business name

GERALD G. UDLER, D.M.D., P.C.

Practice address

1244 Boylston St
Suite 205
Chestnut Hill, MA 02467-2116

Phone

(617) 735-0800

Fax

(617) 735-0801

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gerald G Udler, D.M.D.

Title

President

Phone

(617) 735-0800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679669717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 205",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-735-0800",
            "fax_number": "617-735-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 205",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-735-0800",
            "fax_number": "617-735-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD G. UDLER, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDLER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-735-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "11348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256951",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "X10928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Gay
• Joey Gee, PA/C
• Susan Geisler
• Sam J. Geller
• Ann Marie C Gentili-Stockwell, MA CCC-A
• Jonathan E. Gerbode-Grant
• Gertrud M. Rastalsky MD LLC
• Diana Gertsch, RN, BSN, MSN, FNP-BC
• Houman Ghanbari Jamal Abad
• Laura K Gilbert, PA-C

• Pediatric Dentistry in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.