JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC (NPI# 1619061504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619061504 |
| Entity Type | Organization |
| Organization Name | JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC |
| Other Organization Name | LLC |
| Practice Address |
172 Mt Pleasant Rd Newtown CT 06470 |
| Practice Telephone | 2034260045 |
| Practice Fax Number | 2032701555 |
| Mailing Telephone | 2034260045 |
| Mailing Fax Number | 2032701555 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN A DUDLEY (OWNER DENTIST) |
| Authorized Official Telephone | 2034260045 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
8304 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
9004 | CT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5576 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| LLC | Other Name - Individual/Organization |
| Street Address |
172 MT PLEASANT RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203914 | John A Dudley | Dentist | 172 Mt Pleasant Rd, Newtown, CT 06470 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1104379874 | Stephanie Andrews | Physical Therapist | 3 Simm Ln, Newtown, CT 06470 | 2016-07-29 |
| 1215276928 | Family Health Care Physicians, Inc. | Family Medicine | 33 Chuch Hill Rd, Newtown, CT 06470 | 2013-02-01 |
| 1538439690 | Mark Pirner | Internal Medicine | 1 Stony Brook Rd, Newtown, CT 06470 | 2012-01-06 |
| 1750614699 | Kelly Mcglynn Ferjentsik | Optometrist | 14 Church Hill Road, Suite C 10, Newtown, CT 06470 | 2009-09-10 |
| 1902066921 | Kevin F Braun | Dentist | 56 Church Hill Road, Newtown, CT 06470 | 2008-06-12 |
| 1477737484 | John Hendrian Whitbeck | Physician Assistant | 172 Mt Pleasant Road, Newtown Professional Center, Newtwon, CT 06470 | 2007-12-27 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1760603831 | Andrea Leigh Schear | Social Worker | Sontasha Yoga 27 Hawleyville Rd., Newtown, CT 06470 | 2007-05-02 |
| Find all providers in zip 06470 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982144499 | Michael James Murphy | Dentist | 32 Church Hill Rd Ste 201, Newtown, CT 06470-1648 | 2017-03-02 |
| 1760624753 | Lewis F Rosen | Dentist | 208 Paxon Aly, Newtown, PA 18940-4516 | 2009-04-06 |
| 1750567269 | Blaine Nevius Garner | Dentist | 208 Washington Ave, Newtown, PA 18940-1942 | 2008-01-14 |
| 1629278502 | Pier J Cipriani | Dentist | 638 Yardley Newtown Road, Suite 2c, Newtown, PA 18940 | 2007-07-19 |
| 1932229713 | Elsa B George | Dentist | 11 Church Hill Rd, Newtown, CT 06470 | 2007-03-29 |
| 1326166695 | George Kivowitz | Dentist | 12 Penn's Trail, Newtown, PA 18940 | 2007-03-26 |
| 1720117450 | Joseph Anthony Checchio | Dentist | 131 Richboro Rd, Newtown, PA 18940 | 2007-03-06 |
| 1265590707 | Village At Newton Dentists PC | Dentist | 2960 S Eagle Rd, Newtown, PA 18940-1562 | 2006-12-05 |
| 1316024417 | George Segel | Dentist | 391 Eagle Rd, Newtown, PA 18940-1225 | 2006-11-01 |
| 1972683696 | Jodi S Smith | Dentist | 638 Newtown Yardley Road, Suite 2c, Newtown, PA 18940 | 2006-10-17 |
| Find all providers in NEWTOWN | ||||
Please comment or provide details below to improve the information on JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.