Provider Demographics
NPI:1881844660
Name:DENTISTRY 2000 & BEYOND, INC.
Entity Type:Organization
Organization Name:DENTISTRY 2000 & BEYOND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:FUDGEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:510-465-7777
Mailing Address - Street 1:1708 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3408
Mailing Address - Country:US
Mailing Address - Phone:510-465-7777
Mailing Address - Fax:510-465-1442
Practice Address - Street 1:1708 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3408
Practice Address - Country:US
Practice Address - Phone:510-465-7777
Practice Address - Fax:510-465-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22883261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental