Georgy Kurudimov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044254 Issued in PA

Practice address

721 Bustleton Pike Unit a
Feasterville Trevose, PA 19053-6055

Phone

(215) 703-9090

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1841979903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BUSTLETON PIKE STE A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BUSTLETON PIKE UNIT A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536055",
            "telephone_number": "215-703-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUDIMOV",
        "first_name": "GEORGY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ki Y Kim, RPH
• Douglas Kimmel, D.O.
• Svetlana Klichinsky
• Maciej Kosakowski, DMD
• Yasmeen Ktaishat
• Neelima M Kute, MD
• Yelena Kuznetsov, RN BSN
• Si Tien Lam, DO
• Land Medical Corporation
• Land Medical, Inc.

• General Practice Dentistry in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; 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.