DR. PAUL STANLEY KUDYBA JR. (NPI# 1760540652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760540652 |
| Entity Type | Individual |
| Full Name | DR. PAUL STANLEY KUDYBA JR. |
| Credential | DDS |
| Practice Address |
4740 Nelson Brogdon Blvd Sugar Hill GA 30518 |
| Practice Telephone | 7709455027 |
| Practice Fax Number | 7709451362 |
| Mailing Telephone | 7709455027 |
| Mailing Fax Number | 7709451362 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
5025 | NC | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
9565 | GA | Dental Providers |
| Street Address |
4740 NELSON BROGDON BLVD |
| City | SUGAR HILL |
| State | GA |
| Zip Code | 30518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1770132581 | Auburn Periodontics of Columbus, LLC | Dentist | 400 Brookstone Centre Pkwy Ste 100, Columbus, GA 31904-3640 | 2019-09-05 |
| 1942655816 | Dental Rescue Therapy Group, LLC | Dentist | 39 Vernon Glen Ct, Atlanta, GA 30338-5422 | 2016-04-28 |
| 1033576921 | Hal Arnold | Dentist | 50 Old Ivy Rd Ne, Suite 100, Atlanta, GA 30342-4538 | 2016-01-22 |
| 1265815997 | Fadi Al Farawati | Dentist | Au Dental Associates 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0415 | 2015-06-30 |
| 1124315965 | Aundrea Vereen Eady | Dentist | 2485 Park Central Blvd Ste 3, Decatur, GA 30035-3903 | 2011-06-30 |
| 1801124466 | Janine J Bethea | Dentist | 5546 Waterford Green Gln, Marietta, GA 30068-2930 | 2009-11-19 |
| 1770718553 | Anna Magdalena Refai | Dentist | 200 Galleria Pkwy, Suite 1830, Atlanta, GA 30339 | 2009-05-21 |
| 1467693952 | Cathy J Smith | Dentist | 4469 Columbia Rd Ste E, Augusta, GA 30907-4572 | 2009-03-13 |
| 1578729083 | James S. Wheeler | Dentist | 214 Arrowhead Blvd, Jonesboro, GA 30236-1102 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR HILL |
| Zip Code | 30518 |
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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.