Provider Demographics
NPI:1962771048
Name:D& N DENTAL, PLC
Entity type:Organization
Organization Name:D& N DENTAL, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUDZINSKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-459-6974
Mailing Address - Street 1:1450 SAM DAVIS RD
Mailing Address - Street 2:SUITE # 120
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2736
Mailing Address - Country:US
Mailing Address - Phone:615-459-6974
Mailing Address - Fax:615-459-8806
Practice Address - Street 1:1450 SAM DAVIS RD
Practice Address - Street 2:SUITE # 120
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-2736
Practice Address - Country:US
Practice Address - Phone:615-459-6974
Practice Address - Fax:615-459-8806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty