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Lisa Marie Rudolph

Pediatric Dentist

3333 Burnet Ave
Cincinnati , Ohio 45229-3026

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Lisa Marie Rudolph

Pediatric Dentist

3333 Burnet Ave
Cincinnati , Ohio 45229-3026

(513) 636-2511

Write a Review Save Call

Lisa Marie Rudolph

Pediatric Dentist

3333 Burnet Ave
Cincinnati , Ohio 45229-3026

(513) 636-2511 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

3333 Burnet Ave Cincinnati , Ohio 45229-3026

First Address

  • Lisa Marie Rudolph
  • 3333 Burnet Ave
  • Cincinnati, OH
  • Zip : 45229-3026
  • Fax : (513) 636-2511
  • Phone : (513) 636-4225

Second Address

  • Lisa Marie Rudolph
  • 3333 Burnet Ave
  • Cincinnati, OH
  • Zip : 45229-3026
  • Fax : (513) 636-8283
  • Phone : (513) 636-4641

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FAQs


Where did Lisa Marie Rudolph attend graduate school?

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Where did Lisa Marie Rudolph do her residency?

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Where did Lisa Marie Rudolph do her fellowship?

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Is Lisa Marie Rudolph board certified?

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What type of doctor is Lisa Marie Rudolph

Pediatric Dentist

In what state does Lisa Marie Rudolph practice in?

Ohio

Where is Lisa Marie Rudolph ’s practice located?

3333 Burnet Ave , Cincinnati, Ohio, 45229-3026

What is Lisa Marie Rudolph ’s gender?

Female

Is Lisa Marie Rudolph a sole practitioner?

No

Is Lisa Marie Rudolph accepting new patients?

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What languages does Lisa Marie Rudolph speak?

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Does Lisa Marie Rudolph accept insurance?

Yes, Lisa Marie Rudolph accepts insurance

Does Lisa Marie Rudolph offers telemedicine?

Lisa Marie Rudolph has not indicated if she offers telemedicine

What is Lisa Marie Rudolph ’s professional license number?

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What is Lisa Marie Rudolph ’s NPI number?

1093031742

Does Lisa Marie Rudolph have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist 30.023574 OH

National Provider Identifier

NPI 1093031742
Provider Name Lisa Marie Rudolph
First Address Cincinnati, OH 45229-3026
Second Address Cincinnati, OH 45229-3026
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 19/04/2010
Last Update Date 30/07/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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