Carolyn S Rude in Kennesaw - Pediatric Dentistry
Carolyn S Rude - NPI 1689646945
Carolyn S Rude is a Pediatric Dentistry in Kennesaw, Georgia. Carolyn S Rude practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Carolyn S Rude is 1689646945. The last update date is 2007-07-08.
Carolyn S Rude's current location address is 205 Hawkins Store Road, Kennesaw, Georgia. You can contact this provider via phone number 7709263400. The mailing address for Carolyn S Rude is 205 Hawkins Store Road, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn S Rude |
|---|---|
| Address | 205 Hawkins Store Road, Kennesaw, Georgia |
| Phone Number | 7709263400 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1689646945 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 205 Hawkins Store Road |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 30144 |
| Phone Number | 7709263400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8381 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000236926A1 | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carolyn S Rude by the Centers for Medicare & Medicaid Services?
The Carolyn S Rude has been assigned the NPI (National Provider Identifier) 1689646945. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carolyn S Rude located?
The Carolyn S Rude is located at 205 Hawkins Store Road, Kennesaw, GA 30144.
What is the Carolyn S Rude's area of specialization and corresponding taxonomy classification?
The Carolyn S Rude's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1689646945 to Carolyn S Rude?
The Centers for Medicare & Medicaid Services assigned the 1689646945 to Carolyn S Rude on 2006-02-02.
When was the information related to Carolyn S Rude most recently updated or refreshed?
The details pertaining to the Carolyn S Rude, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.