David S. Duda DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017946 Issued in IL

Legal business name

DAVID S. DUDA DDS PC

Practice address

534 Green Bay Rd
Kenilworth, IL 60043-1801

Phone

(847) 251-5136

Fax

(847) 251-1365

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvonne Izquierdo

Title

Office Cordinator

Phone

(847) 251-5136

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1801041421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 GREEN BAY RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431801",
            "telephone_number": "847-251-5136",
            "fax_number": "847-251-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 GREEN BAY RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431801",
            "telephone_number": "847-251-5136",
            "fax_number": "847-251-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. DUDA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE CORDINATOR",
        "authorized_official_telephone_number": "847-251-5136"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Britton, M.A.
• Conrad James Burghardt
• Arthur B. Carpenter, DDS LTD
• Jon-Paul Champine, PSY.D.
• Miriam Levitan Dani, DDS
• Lauren Detjen, FNP-BC
• Paul Finly Detjen, MD
• Jennifer L. Dressler, MA
• Duda Dental Associates LLC
• David S Duda, DDS PC

• General Practice Dentistry in Kenilworth, IL
• Providers in Kenilworth, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.