Healthcare Provider Details

I. General information

NPI: 1881800704
Provider Name (Legal Business Name): JOHN H CUDE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOHN H CUDE DDS

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 05/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8222 DOUGLAS AVE STE 930
DALLAS TX
75225-5981
US

IV. Provider business mailing address

8222 DOUGLAS AVE STE 930
DALLAS TX
75225-5981
US

V. Phone/Fax

Practice location:
  • Phone: 214-369-6216
  • Fax: 214-369-6244
Mailing address:
  • Phone: 214-369-6216
  • Fax: 214-369-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9900
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: