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Individual
JAMES R LUDERITZ
Active
Individual
JAMES R LUDERITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2102
MT
1223G0001X
General Practice Dentistry
Primary
D011796
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000021024
BLUE CROSS BLUE SHIELD MT
MT
Enumeration date
12/15/2006
Last updated
10/02/2026
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