Keith L. Rudolph is a Dentist in Fairfield, Connecticut. Keith L. Rudolph practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith L. Rudolph is 1124293196. The last update date is 2008-04-29.
Keith L. Rudolph's current location address is 140 Sherman St, Fairfield, Connecticut. You can contact this provider via phone number 2032549533. The mailing address for Keith L. Rudolph is 140 Sherman St, Fairfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith L. Rudolph |
|---|---|
| Address | 140 Sherman St, Fairfield, Connecticut |
| Phone Number | 2032549533 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124293196 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 140 Sherman St |
|---|---|
| City | Fairfield |
| State | Connecticut (CT) |
| Post Code | 68245849 |
| Phone Number | 2032549533 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6950 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Keith L. Rudolph by the Centers for Medicare & Medicaid Services (CMS)?
The Keith L. Rudolph has been assigned the NPI (National Provider Identifier) 1124293196. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Keith L. Rudolph?
The Keith L. Rudolph is situated at 140 Sherman St, in the city of Fairfield, state of CT, with the zip code 68245849.
What is the Keith L. Rudolph's area of specialization and corresponding taxonomy classification?
The Keith L. Rudolph's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Keith L. Rudolph receive its 1124293196 assignment?
The Keith L. Rudolph was assigned its 1124293196 on 2008-04-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Keith L. Rudolph's details last updated?
The information pertaining to the Keith L. Rudolph, including its address, specialty, and other details, was most recently updated on 2008-04-29.
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