DR. STAN M UDOUJ D.M.D.
NPI 1457376246
Dentist - General Practice in Fort Smith, AR

Active since July 13, 2006PECOS Enrolled
520 S 14TH ST, FORT SMITH, AR 72901(479) 782-3005(479) 494-7490 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stan M Udouj D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STAN M UDOUJ D.M.D. (NPI 1457376246) is an individual general practice provider in Fort Smith, Arkansas, licensed in Arkansas (2725) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457376246
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STAN M UDOUJCredential: D.M.D.
Location Address520 S 14TH STFort Smith, AR 72901-4608
Mailing Address520 S 14th StFort Smith, AR 72901-4608 · (479) 782-3005 · Fax (479) 494-7490
Fax(479) 494-7490
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457376246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 2725
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
520 S 14TH ST, Fort Smith, AR 72901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stan M Udouj D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Point of Service
520 S 14TH ST
FORT SMITH, AR 72901
Dentist (General Practice)
520 S 14TH ST
FORT SMITH, AR 72901
Dentist
520 S 14TH ST
FORT SMITH, AR 72901
Dentist
520 S 14TH ST
FORT SMITH, AR 72901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stan Udouj's NPI number?

The NPI number for Stan Udouj is 1457376246. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Stan Udouj located?

Stan Udouj practices at 520 S 14th St, Fort Smith, AR 72901. The listed phone number is (479) 782-3005.

What is Stan Udouj's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stan Udouj enrolled in Medicare?

Yes. Stan Udouj is registered in the Medicare PECOS enrollment system.

What insurance does Stan Udouj accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 14 other insurers list Stan Udouj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stan Udouj was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.