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NPI Code Detail

MEDICARE: DR. DAVID EUGENE HUDEC JR. D.M.D

MEDICARE:  DR. DAVID EUGENE HUDEC JR. D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30-023443OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275820748
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID EUGENE HUDEC JR. D.M.D
Provider Business Mailing Address
First Line : 5595 TRANSPORTATION BLVD
Second Line : SUITE 250
City : GARFIELD HTS
State : OH
Zip : 44125-5379
Country : US
Telephone Number : 216-475-0505
Fax Number :
Provider Business Practice Location Address
First Line : 5595 TRANSPORTATION BLVD
Second Line : SUITE 250
City : GARFIELD HTS
State : OH
Zip : 44125-5379
Country : US
Telephone Number : 216-475-0505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 10/02/2015

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Directions to “ DR. DAVID EUGENE HUDEC JR. D.M.D” Practice Location

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