National Provider Identifier
Theodore Thakesh Udaipaul, D.M.D
Theodore Thakesh Udaipaul, D.M.D is listed in the NPPES registry with a primary specialty of General Practice Dentistry in East Aurora, NY and a listed phone number of (716) 655-5000.
Profile Overview
- NPI
- 1164253605
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- August 07, 2024
- Last Updated
- June 25, 2025
Practice Location
- 950 Main St
- East Aurora, NY 14052-1924
Phone: (716) 655-5000
Mailing Address
- 300 Dunnwood Green Ln Apt 213
- Pittsford, NY 14534-1776
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1164253605
- Entity Type
- Individual
- Last Name
- Udaipaul
- First Name
- Theodore
- Middle Name
- Thakesh
- Name Prefix
- Dr.
- Credential
- D.M.D
- Mailing Street Address
- 300 Dunnwood Green Ln Apt 213
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-1776
- Mailing Country
- US
- Mailing Phone
- (215) 815-1297
- Practice Street Address
- 950 Main St
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-1924
- Practice Country
- US
- Practice Phone
- (716) 655-5000
- Enumeration Date
- August 07, 2024
- Last Updated
- June 25, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 25, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)