Mark Andrew Judy, D.M.D.

General Practice Dentistry · Laguna Beach, CA

Individual Active NPI

NPI number 1902028657

Practice location

330 Park Ave
Ste 5
Laguna Beach, CA 92651-2352
Phone
(949) 494-4814
Fax
(949) 494-2142

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NPI record

NPI
1902028657
Entity type
Individual (Type 1)
Enumeration date
May 3, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22990 CA

About Dr. Judy

Mark Andrew Judy, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 330 Park Ave, Ste 5, Laguna Beach, CA 92651-2352. The NPI number 1902028657 was assigned on May 3, 2007 and the record was last updated on July 8, 2007.

Dr. Judy lists a license in the registry: #22990 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Andrew Judy, D.M.D.?

The NPI number is 1902028657.

What is the phone number of Dr. Judy?

The phone number listed for the practice location is (949) 494-4814.

Where is Dr. Judy located?

330 Park Ave, Ste 5, Laguna Beach, CA 92651-2352.

What is the taxonomy code for Dr. Judy?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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