William R Ludden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6520 Issued in CO

Practice address

7799 Church St
Millington, TN 38053-2431

Phone

(901) 872-8151

Fax

(901) 872-3540

NPI assigned

Apr 13, 2007

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William R Ludden DMD PC

  dba millington family dentistry

  • Dental Clinic/Center
  • Millington, TN
  • NPI 1659978054
  NPD Authorized official
• Bolland Dental PLLC

  • Dental Clinic/Center
  • Millington, TN
  • NPI 1730031055
  NPD (past)
• Excellence in Dentistry of Pueblo One PLLC

  dba Advantage Dental Group

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1730545757
  NPD (past)
• Excellence in Dentistry of Westminster PC

  dba Arbor Dental Group

  • Dentist
  • Westminster, CO
  • NPI 1730298423
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1780808378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7799 CHURCH ST",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380532431",
            "telephone_number": "901-872-8151",
            "fax_number": "901-872-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7799 CHURCH ST",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380532431",
            "telephone_number": "901-872-8151",
            "fax_number": "901-872-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9920 Wadsworth Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800216847",
            "country_code": "US",
            "telephone_number": "303-425-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDDEN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9336",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Millington, TN
• Providers in Millington, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.