DR. BRYAN MICHAEL RUDUSKY DDS NPI 1881694560

NPI Information

  • NPI: 1881694560
  • Provider Name: DR. BRYAN MICHAEL RUDUSKY, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1662 US RR 1
    WELLS, ME
    ZIP 04090
  • Phone: (207) 646-2520

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NPI Details

DR. Bryan Michael Rudusky, DDS is a general practice dentist in Wells, ME. 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. DR. Bryan Michael Rudusky, DDS NPI is 1881694560. 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:

1662 US RR 1
WELLS, ME
ZIP 04090-497
Phone: (207) 646-2520
Fax: (207) 646-2540

The enumeration date for this NPI number is 7/26/2005 and was last updated on 9/11/2025.

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
1122300000XDentist3612MAINENo
21223G0001XDentistGeneral Practice3612MAINEYes

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
1039863OTHERANTHEM
2Z89511OTHERANTHEM BLUE CROSS

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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