Deric Robert Budendorf, DDS

General Practice Dentistry · Canton, OH

Individual Active NPI

NPI number 1952723686

Practice location

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone
(330) 471-5950
Fax
(330) 471-5947

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NPI record

NPI
1952723686
Entity type
Individual (Type 1)
Enumeration date
January 15, 2014
Last updated
April 21, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X RES.3313 OH
Dentist 122300000X 30024164 OH

About Dr. Budendorf

Deric Robert Budendorf, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1320 Mercy Dr NW, Canton, OH 44708-2614. The NPI number 1952723686 was assigned on January 15, 2014 and the record was last updated on April 21, 2014.

Dr. Budendorf lists 2 licenses in the registry: #RES.3313 (OH) for General Practice Dentistry; #30024164 (OH) 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 Deric Robert Budendorf, DDS?

The NPI number is 1952723686.

What is the phone number of Dr. Budendorf?

The phone number listed for the practice location is (330) 471-5950.

Where is Dr. Budendorf located?

1320 Mercy Dr NW, Canton, OH 44708-2614.

What is the taxonomy code for Dr. Budendorf?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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