Individual provider · Type 1 NPI
Val L. Kudryk, DMD
Periodontics · Prescott, AZ
NPI number
1649312158
Active
Practice location
3103 Clearwater Dr, Suite A
Prescott, AZ 86305-7165
Fax (928) 443-0931
Mailing address
190 Misty Meadow Cir
Prescott, AZ 86303-5819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | D6792 (AZ) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
Other periodontics providers in Prescott
- Richard C. Jirsa, DDSPeriodontics Prescott, AZ NPI 1093775488
- Todd W. Walker, DMD, M.S.Periodontics Prescott, AZ NPI 1134449481
- Clay C. Maupin, DDSPeriodontics Prescott, AZ NPI 1245223957
- Michael B. Lee, DDS. MSPeriodontics Prescott, AZ NPI 1306063250
- Jaret Simonsen, DMDPeriodontics Prescott, AZ NPI 1689396442
About NPI 1649312158
Val L. Kudryk, DMD's National Provider Identifier is 1649312158, issued on Feb 12, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.