Healthcare Provider Details

I. General information

NPI: 1336024124
Provider Name (Legal Business Name): MATTHEW HUDZINSKI DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 SOM CENTER RD
MAYFIELD HEIGHTS OH
44124-2047
US

IV. Provider business mailing address

32991 CHARMWOOD OVAL
SOLON OH
44139-4422
US

V. Phone/Fax

Practice location:
  • Phone: 440-409-5857
  • Fax:
Mailing address:
  • Phone: 440-409-5857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW EDWARD HUDZINSKI
Title or Position: DENTIST
Credential: DMD
Phone: 440-409-5857