Provider Demographics
NPI:1861604167
Name:DUDLEY, WILLIAM F (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:DUDLEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6422
Mailing Address - Country:US
Mailing Address - Phone:856-696-3737
Mailing Address - Fax:856-696-2974
Practice Address - Street 1:1051 MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6422
Practice Address - Country:US
Practice Address - Phone:856-696-3737
Practice Address - Fax:856-696-2974
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ96081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice