RUDY CARBALLO DDS PA NPI 1801765813

NPI Information

  • NPI: 1801765813
  • Provider Name: RUDY CARBALLO DDS PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4901 WHITE IBIS DR
    NORTH PORT, FL
    ZIP 34287
  • Phone: (941) 257-8555

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NPI Details

RUDY CARBALLO DDS PA is a general practice dentist in North Port, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RUDY CARBALLO DDS PA NPI is 1801765813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4901 WHITE IBIS DR
NORTH PORT, FL
ZIP 34287-641
Phone: (941) 257-8555

The provider's authorized official is Rodolfo Carballo .
The authorized official title is Dentist/owner and has the following contact phone number (941) 257-8555.

The enumeration date for this NPI number is 10/30/2025 and was last updated on 10/30/2025.

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
11223G0001XDentistGeneral PracticeYes

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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