Individual provider · Type 1 NPI

Lesley Jill Rudolph, DMD

Pediatric Dentistry · Tampa, FL

NPI number 1649206434 Active

Practice location

3224 Henderson Blvd
Tampa, FL 33609-3024

Call (813) 874-0111 Map

Fax (813) 876-4591

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN17563 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1649206434

Lesley Jill Rudolph, DMD's National Provider Identifier is 1649206434, issued on Jun 23, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tampa, FL. The record was last updated on Jan 25, 2011.