LLC
NPI 1619061504
Dentist - General Practice in Newtown, CT

Active since October 03, 2006
172 MT PLEASANT RD, NEWTOWN, CT 06470(203) 426-0045(203) 270-1555 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Llc NPPES

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

LLC (NPI 1619061504) is a healthcare organization registered as a general practice in Newtown, Connecticut and active in the NPI registry since October 2006. The organization lists John A Dudley, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1619061504
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN A DUDLEY DMD AND DEIDER M CONDON DMD LLC
Location Address172 MT PLEASANT RDNewtown, CT 06470
Mailing Address172 Mt Pleasant RdNewtown, CT 06470 · (203) 426-0045 · Fax (203) 270-1555
Fax(203) 270-1555
Organization SubpartNo
Authorized OfficialJohn A DudleyOwner Dentist · (203) 426-0045
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619061504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in CT · 5576 Licensed in CT · 8304 Licensed in CT · 9004
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.
172 MT PLEASANT RD, Newtown, CT 06470

Other Names 1

Other NameLlc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
172 MT PLEASANT RD
NEWTOWN, CT 06470

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 John A Dudley Dmd And Deider M Condon Dmd LLC's NPI number?

The NPI number for John A Dudley Dmd And Deider M Condon Dmd LLC is 1619061504. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is also known as LLC.

Where is John A Dudley Dmd And Deider M Condon Dmd LLC located?

John A Dudley Dmd And Deider M Condon Dmd LLC is located at 172 Mt Pleasant Rd, Newtown, CT 06470. The listed phone number is (203) 426-0045.

What is John A Dudley Dmd And Deider M Condon Dmd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for John A Dudley Dmd And Deider M Condon Dmd LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.