Edward Tucker Rudisill, DDS

Dentist · Gilbert, AZ

Individual Active NPI

NPI number 1821677964

Practice location

1030 N Colorado St
Gilbert, AZ 85233-2288
Phone
(501) 701-0539

Open in Google Maps

NPI record

NPI
1821677964
Entity type
Individual (Type 1)
Enumeration date
April 6, 2021
Last updated
October 6, 2023
Certified
October 6, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D011952 AZ
Dentist 122300000X 7215 LA
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Rudisill

Edward Tucker Rudisill, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1030 N Colorado St, Gilbert, AZ 85233-2288. The NPI number 1821677964 was assigned on April 6, 2021 and the record was last updated on October 6, 2023.

Dr. Rudisill lists 2 licenses in the registry: #D011952 (AZ) for Dentist; #7215 (LA) 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 Edward Tucker Rudisill, DDS?

The NPI number is 1821677964.

What is the phone number of Dr. Rudisill?

The phone number listed for the practice location is (501) 701-0539.

Where is Dr. Rudisill located?

1030 N Colorado St, Gilbert, AZ 85233-2288.

What is the taxonomy code for Dr. Rudisill?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

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 Gilbert

All Dentist providers in Gilbert, AZ →