STEPHEN A. RENDULICH DDS PA NPI 1013173483

NPI Information

  • NPI: 1013173483
  • Provider Name: STEPHEN A. RENDULICH, DDS, PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: THE CENTER FOR ORAL & MAXILLOFACIAL SURGERY
  • Address: 10210 HICKORYWOOD HILL AVE
    SUITE 200
    HUNTERSVILLE, NC
    ZIP 28078
  • Phone: (704) 875-8833

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NPI Details

STEPHEN A. RENDULICH, DDS, PA is an oral and maxillofacial surgery dentist in Huntersville, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. STEPHEN A. RENDULICH, DDS, PA NPI is 1013173483. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Center For Oral & Maxillofacial Surgery.

The provider's business location address is:

10210 HICKORYWOOD HILL AVE
SUITE 200
HUNTERSVILLE, NC
ZIP 28078-332
Phone: (704) 875-8833
Fax: (704) 875-0303

The provider's authorized official is Lora Sigmon .
The authorized official title is Office Administrator and has the following contact phone number (704) 875-8833.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery7749NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U75988MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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