Individual provider · Type 1 NPI
Carl Ruderman, DDS
Oral and Maxillofacial Surgery (Dentist) · Riverdale, MD
NPI number
1922019330
Active
Practice location
6309 Baltimore Avenue #202
Riverdale, MD 20737-1022
Fax (301) 864-8093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6827 (MD) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1922019330
Carl Ruderman, DDS's National Provider Identifier is 1922019330, issued on Aug 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Riverdale, MD. The record was last updated on Feb 26, 2020.