Provider Demographics
NPI:1730428707
Name:DUDEE, NARENDER S (DDS)
Entity type:Individual
Prefix:
First Name:NARENDER
Middle Name:S
Last Name:DUDEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13527 STEELECROFT PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7887
Mailing Address - Country:US
Mailing Address - Phone:704-749-6300
Mailing Address - Fax:704-749-6304
Practice Address - Street 1:12 CENTER ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3005
Practice Address - Country:US
Practice Address - Phone:413-585-5880
Practice Address - Fax:413-585-5950
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18561901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice