DR. RONALD LEE DUDLEY D.D.S.
NPI 1639282767
Dentist - General Practice in Oshkosh, WI

Active since August 15, 2006PECOS Enrolled
1763 TAFT AVE, OSHKOSH, WI 54902(920) 233-1927(920) 233-0120 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. Ronald Lee Dudley D.d.s. NPPES

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

DR. RONALD LEE DUDLEY D.D.S. (NPI 1639282767) is an individual general practice provider in Oshkosh, Wisconsin, licensed in Wisconsin (3106015) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639282767
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RONALD LEE DUDLEYCredential: D.D.S.
Location Address1763 TAFT AVEOshkosh, WI 54902-3220
Mailing Address1763 Taft AveOshkosh, WI 54902-3220 · (920) 233-1927 · Fax (920) 233-0120
Fax(920) 233-0120
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639282767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 3106015
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.
1763 TAFT AVE, Oshkosh, WI 54902

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. Ronald Lee Dudley D.d.s. 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 54902 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

Dentist
1763 TAFT AVE
OSHKOSH, WI 54902

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 Ronald Dudley's NPI number?

The NPI number for Ronald Dudley is 1639282767. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Ronald Dudley located?

Ronald Dudley practices at 1763 Taft Ave, Oshkosh, WI 54902. The listed phone number is (920) 233-1927.

What is Ronald Dudley's specialty?

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

Is Ronald Dudley enrolled in Medicare?

Yes. Ronald Dudley is registered in the Medicare PECOS enrollment system.

What insurance does Ronald Dudley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Ronald Dudley 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 Ronald Dudley 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.