Donald Rudolf P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS015499L Issued in PA

Legal business name

DONALD RUDOLF P.C.

Practice address

103 Progress Dr
Doylestown, PA 18901-2511

Phone

(215) 348-8040

Fax

(215) 348-7456

NPI assigned

Nov 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald Rudolf

Title

Oral&Maxillofacial Surgeon

Phone

(215) 348-8040

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1215119797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-348-8040",
            "fax_number": "215-348-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-348-8040",
            "fax_number": "215-348-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD RUDOLF P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "RUDOLF",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ORAL&MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "215-348-8040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS015499L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Thihong DO, M.D.
• Brenna Kathleen Dobson, PA-C
• Lori A Dolinski, DO
• Elizabeth Vonruden Domann, CRNP
• Vanessah Heavenly Dominique
• Timothy Liam Donegan, M.D.
• Meagan Text Donnelly
• Sharon Donnelly
• Suzanne Dorfman, M.ED., LPC
• Brian Dougherty, CRNP

• Oral and Maxillofacial Surgery (Dentist) in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.