Provider Demographics
NPI:1760038830
Name:NARENDER S DUDEE DDS PLLC
Entity Type:Organization
Organization Name:NARENDER S DUDEE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:NARENDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUDEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:859-576-6743
Mailing Address - Street 1:2325 SHUDA AVE APT R
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-1382
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10010 FALLS OF NEUSE RD STE 207
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8496
Practice Address - Country:US
Practice Address - Phone:919-255-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental