Provider Demographics
NPI:1679976047
Name:P.HAKAN DURUDOGAN DDS
Entity Type:Organization
Organization Name:P.HAKAN DURUDOGAN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:P
Authorized Official - Middle Name:HAKAN
Authorized Official - Last Name:DRURUDOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-846-6610
Mailing Address - Street 1:97 W MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4936
Mailing Address - Country:US
Mailing Address - Phone:401-846-6610
Mailing Address - Fax:401-846-0804
Practice Address - Street 1:97 W MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4936
Practice Address - Country:US
Practice Address - Phone:401-846-6610
Practice Address - Fax:401-846-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI22901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty