Provider Demographics
NPI:1922486000
Name:HUDEC & ASSOCIATES IN DENTAL CARE LLC
Entity Type:Organization
Organization Name:HUDEC & ASSOCIATES IN DENTAL CARE LLC
Other - Org Name:ANCHOR DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUDEC
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:216-475-0505
Mailing Address - Street 1:5595 TRANSPORTATION BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5379
Mailing Address - Country:US
Mailing Address - Phone:216-475-0505
Mailing Address - Fax:216-475-9290
Practice Address - Street 1:5595 TRANSPORTATION BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5379
Practice Address - Country:US
Practice Address - Phone:216-475-0505
Practice Address - Fax:216-475-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty