Dr. Keith L Rudolph, DDS
Dentist in Fairfield, Connecticut
1124293196- Practice location
- 140 Sherman St, Fairfield, CT 06824-5849
- Phone
- 203-254-9533
- Fax
- —
- Last updated
- April 29, 2008
Keith L. Rudolph is a Dentist based in Fairfield, CT. Keith L. Rudolph practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Keith L. Rudolph is 1124293196 and holds a License No. 006950 (CT). The current practice location address for Keith L. Rudolph is 140 Sherman St, Fairfield, CT 06824-5849 and can be reached out via phone at 203-254-9533.
Provider Profile Details
- NPI Number
- 1124293196
- Provider Name
- Keith L. Rudolph
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 140 Sherman St, Fairfield, CT 06824-5849
- Phone Number
- 203-254-9533
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 29, 2008
- Last Update Date
- April 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Sherman St
Fairfield, CT 06824-5849 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-5849
- Phone Number
- 203-254-9533
Provider Business Mailing Address Details
- Address
- 140 Sherman St
Fairfield, CT 06824-5849 - City
- Fairfield
- State
- CT
- Zip
- 06824-5849
- Phone Number
- 203-254-9533
License Information
- License Number
- 006950
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Fairfield, CT
View all Dentists in Fairfield →Frequently Asked Questions
What is the NPI number of Dr. Keith L Rudolph, DDS?
The NPI number of Dr. Keith L Rudolph, DDS is 1124293196. It was assigned on April 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Keith L Rudolph, DDS?
Dr. Keith L Rudolph, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 006950.
Where does Dr. Keith L Rudolph, DDS practice?
The practice location is 140 Sherman St, Fairfield, CT 06824-5849. The office can be reached at 203-254-9533 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124293196 directly on the NPPES registry website.