Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY RUDOLPH, RDH
Active Sole ProprietorSTACEY RUDOLPH, RDH is a Dental Hygienist healthcare provider located in EAST TROY, Wisconsin. NPI 1932944527 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · EAST TROY, WI
Registration Details
- NPI Number
- 1932944527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2024 (2.1199242580105 yrs)
- Last Updated
- Jun 26, 2024
- License
-
1003864 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N8977 STRINGERS BRIDGE RDEAST TROY, WI, 531201912Browse WI providers · Browse ZIP 53120
- Phone
- 4143058056
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.