Bruce Anthony Kudak, DDS

Dentist · St Cloud, MN

Individual Active NPI

NPI number 1801018965

Practice location

1500 Northway Drive
St Cloud, MN 56303
Phone
(320) 253-7700
Fax
(320) 253-9271

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NPI record

NPI
1801018965
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9182 MN

Mailing address

PO Box 1659
St Cloud, MN 56302
Phone
(320) 253-7700
Fax
(320) 253-9271

About Dr. Kudak

Bruce Anthony Kudak, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1500 Northway Drive, St Cloud, MN 56303. The NPI number 1801018965 was assigned on May 2, 2007 and the record was last updated on July 8, 2007.

Dr. Kudak lists a license in the registry: #9182 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bruce Anthony Kudak, DDS?

The NPI number is 1801018965.

What is the phone number of Dr. Kudak?

The phone number listed for the practice location is (320) 253-7700.

Where is Dr. Kudak located?

1500 Northway Drive, St Cloud, MN 56303.

What is the taxonomy code for Dr. Kudak?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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