Gaurav Dudeja PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAURAV DUDEJA PLLC

Practice address

5038 Tacoma Mall Blvd Ste a
Tacoma, WA 98409-7103

Phone

(210) 861-5541

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Gaurav DudejaNPI 1437446572

Title

Member

Phone

(210) 861-5541

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gaurav Dudeja, DDS

  • Dentist
  • Dallas, TX
  • NPI 1437446572
  NPD Authorized official
• Megan Rochelle Miller, D.D.S

  • Dentist
  • Tacoma, WA
  • NPI 1194809467
  NPD (past)
• Shaofan Kevin Xu, DDS MS

  • Dentist
  • Tacoma, WA
  • NPI 1710957329
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1699308619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 TACOMA MALL BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097103",
            "telephone_number": "253-473-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 TACOMA MALL BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097103",
            "telephone_number": "210-861-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURAV DUDEJA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "DUDEJA",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-861-5541"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Normand Paul Gaudreau, R.PH., CDE
• Suzanne Gaudreault, M.D., M.S.
• Anastasia Gauen-Fidler, LMSW, SWAA
• David W Gauger, M.D.
• Elisa Gault, ARNP
• Edward Gavronski, A.T.,H.A.S.
• Kashmiri Rose Gavronski
• Shania Tanae Gay
• Kristin Rochele Gayle, PH.D.
• Gerardo Gazca Jr.

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.