Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD RUDOLPH
ActiveEDWARD RUDOLPH is a General Dentistry healthcare provider located in NEW SQUARE, New York. NPI 1457649824 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NEW SQUARE, NY
Registration Details
- NPI Number
- 1457649824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2011 (15.087047150023 yrs)
- Last Updated
- Jul 17, 2012
- License
-
056060-1 (NY)
Practice Information
- Address
-
728 N MAIN STNEW SQUARE, NY, 109778916Browse NY providers · Browse ZIP 10977
- Phone
- 8453549300
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in NEW SQUARE, NY
| Name | Credential | NPI |
|---|---|---|
| RACHEL SNYDER | DDS | 1922449123 |
| DR. PETER J. KIM | DDS | 1417353400 |
| MOSHE KLEIN | — | 1831661453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.