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DR. LUCAS JOHN RUDELICH DDS NPI 1477096667


NPI Profile

NPI: 1477096667
Provider Name: DR. LUCAS JOHN RUDELICH, DDS
Classification:Dentist - 122300000X
Entity Type: Individual
Address:
5255 S 4015 W
SUITE #180
TAYLORSVILLE, UT
ZIP 84129
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Phone: (801) 968-9003

DR. Lucas John Rudelich, DDS is a dentist in Taylorsville, UT. The provider is 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Lucas John Rudelich, DDS NPI is 1477096667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5255 S 4015 W
SUITE #180
TAYLORSVILLE, UT
ZIP 84129-257
Phone: (801) 968-9003
Fax: (801) 968-9069

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist10165628-9922UTAHYes

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: 1/9/2022

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