Provider Demographics
NPI:1174726376
Name:OKUN, JUDITH ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANNE
Last Name:OKUN
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:14 RYE RIDGE PLZ
Mailing Address - Street 2:SUITE 243
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2826
Mailing Address - Country:US
Mailing Address - Phone:914-523-0722
Mailing Address - Fax:
Practice Address - Street 1:14 RYE RIDGE PLZ
Practice Address - Street 2:SUITE 243
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2826
Practice Address - Country:US
Practice Address - Phone:914-253-0722
Practice Address - Fax:914-253-0723
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0405461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics