# MR. SCOTT BRANIN DUDLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336134048
- **Gender:** Man
- **Credential:** DMD, MSED, FAGD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412031 | VA | Yes |
| 122300000X | Dentist | 22D102229700 | NJ | — |
| 122300000X | Dentist | 7973 | NC | — |
| 122300000X | Dentist | DEN1000421 | DC | — |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 08/18/2016