MR. SCOTT BRANIN DUDLEY (NPI# 1336134048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336134048 |
| Entity Type | Individual |
| Full Name | MR. SCOTT BRANIN DUDLEY |
| Credential | DMD, MSED, FAGD |
| Practice Address |
1025 N Fillmore Street Suite C Arlington VA 22201 |
| Practice Telephone | 7032434500 |
| Practice Fax Number | 7032434100 |
| Mailing Telephone | 7032434500 |
| Mailing Fax Number | 7032434100 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412031 | VA | Dental Providers |
| N | 122300000X | Dentist | 7973 | NC | Dental Providers |
| N | 122300000X | Dentist | 22D102229700 | NJ | Dental Providers |
| N | 122300000X | Dentist | DEN1000421 | DC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578604658 | Scott Andrew Dudley | Student in an Organized Health Care Education/Training Program | 1295 W State St, El Centro, CA 92243-2845 | 2007-02-09 |
| 1184727166 | Scott Matthew Dudley | Emergency Medicine | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-09-06 |
| Street Address |
1025 N FILLMORE STREET SUITE C |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679969653 | Alyssa Hartman | Dentist | 1025 N Fillmore Street, Suite C, Arlington, VA 22201 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314422 | Michael John Harrington | Specialist/Technologist | 1301 N Stafford St, Arlington, VA 22201 | 2017-09-04 |
| 1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
| 1821471244 | Christopher P Henry | Dentist | 1025 N. Fillmore St., Suite A, Arlington, VA 22201 | 2015-07-02 |
| 1699174714 | Northstar Psychological Services | Psychologist | 2000 N. 15th Street, Suite G2-100, Arlington, VA 22201 | 2014-08-14 |
| 1861823809 | Nicole Aniela Szwanke | Physical Therapist | 1005 N Glebe Rd Ste 410, Arlington, VA 22201 | 2013-12-02 |
| 1285073791 | Live Longer Labs LLC | Clinical Medical Laboratory | 1040 N Quincy St Suite 500, Arlington, VA 22201 | 2013-06-18 |
| 1992093355 | Deepthi Moola | Student in an Organized Health Care Education/Training Program | 1005 North Glebe Rd, #430, Arlington, VA 22201 | 2011-07-19 |
| 1245527886 | Eva K Swenson | Dentist | 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 | 2011-07-04 |
| 1639483951 | Hooman Hamidi | Chiropractor | 2778 Washington Blvd, Arlington, VA 22201 | 2010-07-28 |
| 1831400233 | Stephanie A Klassner | Dentist | 1025 North Fillmore Street, Suite A, Arlington, VA 22201 | 2010-06-30 |
| Find all providers in zip 22201 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826845 | Ki Young Choe | Dentist | 1250 E Pioneer Pkwy Ste 200, Arlington, TX 76010-6422 | 2020-09-17 |
| 1023628161 | Kayla Lynn Scott | Dentist | 4050 W I 20, Arlington, TX 76017-1435 | 2020-08-04 |
| 1215554555 | Ensenada Dental Pllc | Dentist | 311 S Bowen Rd, Arlington, TX 76013-1255 | 2020-07-02 |
| 1871058412 | Simi Mani | Dentist | 901 W Pioneer Pkwy, Arlington, TX 76013-7638 | 2019-02-07 |
| 1831661909 | Complete Dental Care P.c | Dentist | 3801 Fairfax Dr Ste 52, Arlington, VA 22203-1762 | 2018-12-29 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1194292144 | Soh of Texas Samson Liu Pllc | Dentist | 1514 E Abram St Ste A, Arlington, TX 76010-7213 | 2018-10-29 |
| 1104393388 | Priyaben Patel | Dentist | 1804 Paddington Ct, Arlington, TX 76017-7925 | 2018-10-25 |
| 1568946176 | Barcroft Dentistry | Dentist | 939 S. Wakefield St, Arlington, VA 22204 | 2018-09-19 |
| 1053839449 | Lizanne Olivia Holloway | Dentist | 900 E Copeland Rd Ste 200, Arlington, TX 76011-1392 | 2017-09-06 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.