DR. MATTHEW SETH RUDOLPH D.M.D. NPI 1487682720

NPI Information

NPI: 1487682720
Provider Name: DR. MATTHEW SETH RUDOLPH, D.M.D.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
2696 OLIVIA HEIGHTS AVE
HENDERSON, NV
ZIP 89052
Phone: (901) 289-2494
Get Directions

DR. Matthew Seth Rudolph, D.M.D. is a periodontics dentist in Henderson, NV. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Matthew Seth Rudolph, D.M.D. NPI is 1487682720. 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:

2696 OLIVIA HEIGHTS AVE
HENDERSON, NV
ZIP 89052-039
Phone: (901) 289-2494

The enumeration date for this NPI number is 6/28/2006 and was last updated on 2/3/2021.

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	1223P0300X	Dentist	Periodontics	DS030358L	PENNSYLVANIA	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

NPI Synchronization or Removal

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