Organization
JOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A DUDLEY DMD (OWNER DENTIST)
(203) 426-0045
Entity
Organization
Contact information
Practice address
172 MT PLEASANT RD, NEWTOWN, CT 06470
(203) 426-0045
(203) 270-1555
Mailing address
172 MT PLEASANT RD, NEWTOWN, CT 06470
(203) 426-0045
(203) 270-1555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5576
CT
1223G0001X
General Practice Dentistry
8304
CT
1223G0001X
General Practice Dentistry
9004
CT
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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