Michael Lawrence Rudolph, D.D.S.

Dentist · Warsaw, IN

Individual Active NPI

NPI number 1730305905

Practice location

2104 E Center St
Warsaw, IN 46580-3704
Phone
(574) 269-1787
Fax
(574) 267-1610

Open in Google Maps

NPI record

NPI
1730305905
Entity type
Individual (Type 1)
Enumeration date
April 17, 2007
Last updated
December 2, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12010923A IN

About Dr. Rudolph

Michael Lawrence Rudolph, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2104 E Center St, Warsaw, IN 46580-3704. The NPI number 1730305905 was assigned on April 17, 2007 and the record was last updated on December 2, 2008.

Dr. Rudolph lists a license in the registry: #12010923A (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Lawrence Rudolph, D.D.S.?

The NPI number is 1730305905.

What is the phone number of Dr. Rudolph?

The phone number listed for the practice location is (574) 269-1787.

Where is Dr. Rudolph located?

2104 E Center St, Warsaw, IN 46580-3704.

What is the taxonomy code for Dr. Rudolph?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Warsaw

All Dentist providers in Warsaw, IN →