Individual
DR. NICHOLAS R CUDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7400 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1155
(708) 448-8670
(708) 448-8698
Mailing address
7400 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1155
(708) 448-8670
(708) 448-8698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019027476
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021.002532
IL
Other
Enumeration date
09/28/2009
Last updated
12/06/2021
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