GRACE E. RUDERSDORF DDS PLLC NPI 1013429778

NPI Information

NPI: 1013429778
Provider Name: GRACE E. RUDERSDORF, DDS, PLLC

Doing Business As: GOLDEN HILL FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11290 W ALAMEDA AVE STE A-100
LAKEWOOD, CO
ZIP 80226
Phone: (303) 237-1553
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GRACE E. RUDERSDORF, DDS, PLLC is a dental clinic center in Lakewood, CO. GRACE E. RUDERSDORF, DDS, PLLC NPI is 1013429778. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Hill Family Dentistry.

The provider's business location address is:

11290 W ALAMEDA AVE STE A-100
LAKEWOOD, CO
ZIP 80226-575
Phone: (303) 237-1553
Fax: (303) 232-1683

The provider's authorized official is Grace Rudersdorf .
The authorized official title is Owner/dentist and has the following contact phone number (303) 237-1553.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.

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
1	261QD0000X	Clinic/Center	Dental	202316	COLORADO	Yes

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: 4/28/2024

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