GAURAV DUDEJA PLLC


Address: 5038 Tacoma Mall Blvd Ste A, Tacoma, WA 98409-7103
Phone: 2108615541

GAURAV DUDEJA PLLC (NPI# 1699308619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699308619
Entity Type Organization
Organization Name GAURAV DUDEJA PLLC
Practice Address 5038 Tacoma Mall Blvd Ste A
Tacoma
WA 98409-7103
Mailing Address 6011 Ne 1st Pl
Renton
WA 98059-8553
Practice Telephone 2108615541
Mailing Telephone 2108615541
Enumeration Date 2020-02-18
Last Update Date 2020-02-18
Authorized Official Name GAURAV DUDEJA (MEMBER)
Authorized Official Telephone 2108615541
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 5038 TACOMA MALL BLVD STE A
City TACOMA
State WA
Zip Code 98409-7103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053942805 Terah Jo Barker Behavior Technician 4301 South Pine St., Suite 505, Tacoma, WA 98409 2020-01-30
1427526797 Carrissa Bentley Social Worker 3901 S. Fife Street, Tacoma, WA 98409 2018-11-05
1396255972 Julie Ann Sunada Nurse Practitioner 2505 S 38th St Ste 109, Tacoma, WA 98409 2017-10-09
1306389820 Laura Town Chiropractor 3640 S Cedar St, Ste P, Tacoma, WA 98409 2016-12-01
1114476082 Chelsea Marie Jensen Massage Therapist 701 Commerce Street Apartment 307, Tacoma, WA 98409 2016-10-03
1831574730 Artika Naidu Optometrist 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 2015-07-22
1972918399 Tacoma Dental and Implant Center Ps Clinic/Center 4704 South Oakes St #103, Tacoma, WA 98409 2014-06-24
1457795957 Ana Amparo Penas Vasquez Clinical Nurse Specialist 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 2013-04-26
1033452156 Richard William Solitaire Counselor 4301 S. Pine St., 30-19, Tacoma, WA 98409 2013-03-27
1790042810 Tara Kerin Garland Counselor 5921 S. Verde St., Tacoma, WA 98409 2012-04-13
Find all providers in zip 98409

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528672078 Christopher Hieu-thanh Nguyen Dentist Madigan Annex Second Floor Building 9900, Tacoma, WA 98431-0001 2020-09-02
1477032035 Sampada Jayant Deshpande Dentist 4811 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1799 2018-08-14
1962996272 William Thomas Frei Dentist 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 2018-06-20
1720598949 Alyssa Christine Meister Burns Dentist 9900 Lincoln Street (2nd Floor), Tacoma, WA 98431-0001 2017-10-02
1528503141 Ajaipal Singh Sekhon, Dds, Pllc Dentist 2716 N 31st St, Tacoma, WA 98407-6405 2017-01-05
1730543240 Dale L. Vanderschelden, Dds Chartered Dentist 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409-7120 2016-04-11
1639552110 Philip Henzlik Dentist 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 2015-07-02
1639599566 Adam Yang Dds Ps Dentist 15 Oregon Ave Ste 106, Tacoma, WA 98409-7462 2014-04-17
1265778484 Richard Guzha Dds LLC Dentist 2617 6th Ave, Tacoma, WA 98406-7204 2012-12-15
1396080032 South Tacoma Dental LLC Dentist 223 140th St S, Tacoma, WA 98444 2012-12-06
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Competitor

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City TACOMA
Zip Code 98409

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Dataset Information

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.

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