Dudeen DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DUDEEN DDS PLLC

Practice address

3115 S Lamar Blvd
Austin, TX 78704-5803

Phone

(512) 640-4090

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Abdulaziz Dudeen, DDS

Title

Owner

Phone

(213) 245-5279

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1770241127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 LOU JOHN ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787271239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045803",
            "telephone_number": "512-640-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDEEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "DUDEEN",
        "authorized_official_first_name": "ABDULAZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-245-5279",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "28315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Rebeca Duck
• Claire L Ducker, MA CCC SLP
• Elizabeth Anne Duckworth, MD
• Simone Christine Ducloux, M.A., LPC
• Anupama T Duddempudi, MD
• Alexandria Marie Dudley
• Courtney Relyea Dudley, MD
• Laura Violeta Duenas-Guerrero, LPC
• Betty Lew Duff, LPC
• Elizabeth Anne Duff, M.A.

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.