Provider Demographics
NPI:1336317445
Name:HUDECKI, GREGORY EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:EDWARD
Last Name:HUDECKI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4233 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-863-9891
Mailing Address - Fax:716-631-5824
Practice Address - Street 1:4233 MAPLE RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:719-631-2728
Practice Address - Fax:716-631-5824
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029650122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist