Provider Demographics
NPI:1447349709
Name:BUDZ, ANDREW B (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:B
Last Name:BUDZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2631
Mailing Address - Country:US
Mailing Address - Phone:413-458-5090
Mailing Address - Fax:413-458-2550
Practice Address - Street 1:772 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2631
Practice Address - Country:US
Practice Address - Phone:413-458-5090
Practice Address - Fax:413-458-2550
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA165001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice