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Edward Rudolph
General Practice Dentistry in New Square, New York
NPI 1457649824

Edward Rudolph is a General Practice Dentistry based in New York, NY and is specialized in General Practice. Edward Rudolph practices in New Square, NY. The NPI Number for Edward Rudolph is 1457649824 and holds a License No. 056060-1 (New York).

The current practice location address for Edward Rudolph is 728 N Main St, New Square, NY and can be reached out via phone at 845-354-9300.

Location: 728 N Main St, New Square, NY, 10033-1513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457649824
Provider Name
Edward Rudolph
Credential
Provider Entity Type
Individual
Gender
Male
Address
728 N Main St, New Square, NY, 10033-1513
Phone Number
845-354-9300
Fax Number
Provider Enumeration Date
07/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
728 N Main St
City
New Square
State
New York
Zip
10977-8916
Phone Number
845-354-9300
Fax Number
person
Provider Business Mailing Address Details
Address
728 N Main St
City
New Square
State
New York
Zip
10977-8916
Phone Number
845-354-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
056060-1 (New York)
Definition
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.
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