Individual provider · Type 1 NPI

Keith L. Rudolph, DDS

Dentist · Fairfield, CT

NPI number 1124293196 Active

Practice location

140 Sherman St
Fairfield, CT 06824-5849

Call (203) 254-9533 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X006950 (CT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124293196

Keith L. Rudolph, DDS's National Provider Identifier is 1124293196, issued on Apr 29, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fairfield, CT. The record was last updated on Apr 29, 2008.