Ruder Hospital Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3450-08 Issued in MS

Legal business name

RUDER HOSPITAL DENTISTRY, P.C.

Practice address

400 2ND Ave N
Amory, MS 38821-3513

Phone

(662) 256-1582

Fax

(662) 256-9860

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph E Ruder II, DDS

Title

Owner

Phone

(901) 412-6323

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1356711717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 2ND AVE N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213513",
            "telephone_number": "662-256-1582",
            "fax_number": "662-256-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND AVE N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213513",
            "telephone_number": "662-256-1582",
            "fax_number": "662-256-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDER HOSPITAL DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "RUDER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-412-6323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3450-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01738856",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kacey Byrd Roberts, DPT
• Lasandra A Roberts, RRT
• Anishka Rogers
• William Rogers, MD
• RRL, LLC (River Place Nursing Center)
• Elisabeth Grace Rutherford
• Bailey Nicole Sanders, PHARMD
• Bryon Andrew Sawyer, FNP-C
• Sharla Elizabeth Saylors, ANP-BC
• Lauren Whitney Schrank

• General Practice Dentistry in Amory, MS
• Providers in Amory, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.