Patricia Pass-Dudley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011419 Issued in GA

Practice address

516 Great Oaks Drive
Monroe, GA 30655

Phone

(770) 207-5158

Fax

(770) 207-5160

NPI assigned

Jun 23, 2006

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Patricia Pass-Dudley DDS PC

  • Dentist
  • Monroe, GA
  • NPI 1356879118
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1699701771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ML KING BLVD",
            "address_2": "PMB #387",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-207-5158",
            "fax_number": "770-207-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GREAT OAKS DRIVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-207-5158",
            "fax_number": "770-207-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS-DUDLEY",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Parks
• Kiley Jordan Parrish
• Anita Sims Parsons, R. PH.
• Jenna Parsons, CPNP-PC
• Larry Paul Parworth, D.D.S., M.S.
• Anvi Prakash Patel
• Chirag Patel
• Ravina Patel, DMD
• Pathways Hospice, LLC
• Patricia Pass-Dudley DDS PC

• All providers in Monroe, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.