Dudzinski Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6505 Issued in NE

Legal business name

DUDZINSKI DENTAL CORP.

Doing business as

Mapleview Dentistry

Practice address

3631 N 129TH St
Omaha, NE 68164-5211

Phone

(402) 493-8320

Fax

(402) 884-0659

NPI assigned

May 20, 2011

Last updated

Feb 10, 2020By 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

Brinda Sillik

Title

Office Manager

Phone

(402) 493-8320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mapleview Dentistry Doing business as

Tax ID family

Dudzinski Dental PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dudzinski Dental PC

  dba New Image Dentistry

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1457984817
  NPD tax ID
• Dudzinski Dental PC

  dba New Image Dentistry at Village Pointe

  • Dentist
  • Omaha, NE
  • NPI 1831599158
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Janea Miller, D.D.S.

  • Pediatric Dentistry
  • Omaha, NE
  • NPI 1245645845
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1962795179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645211",
            "telephone_number": "402-493-8320",
            "fax_number": "402-884-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645211",
            "telephone_number": "402-493-8320",
            "fax_number": "402-884-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDZINSKI DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "SILLIK",
        "authorized_official_first_name": "BRINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-493-8320"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025734800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mapleview Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Duckstein
• Eric Duckworth
• Amber Elizabeth Duda, DO
• Bridgette Dudley
• Michele L Dudley, MS, LMHP, LPC
• Dudzinski Dental PC (New Image Dentistry)
• Dudzinski Dental PC (New Image Dentistry at Village Pointe)
• Bernard Paul Dudzinski, DDS
• Colin Blair Dudzinski, DDS
• Jordan Dudzinski, D.D.S.

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.