Organization Active NPI

Adam S Rudin DDS, PLLC

Doing business as Maple Glen Modern Dentistry

  • Dental Clinic/Center
  • Ambler, PA
National Provider Identifier
1760284293
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADAM S RUDIN DDS, PLLC
Doing business as
Maple Glen Modern Dentistry
Practice address
520 Limekiln Pike Ste 13
Ambler, PA 19002-2901
Phone
(267) 603-6463
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Adam RudinNPI 1750776332
Title
Owner
Phone
(908) 420-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

520 Limekiln Pike Ste 13
Ambler, PA 19002-2901

Mailing address

1401 E Oxford St
Philadelphia, PA 19125-4421
Phone (908) 420-1744

Other names 1

  • Maple Glen Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

520 Limekiln Pike
Ste 13
Ambler, PA 19002
Phone (267) 603-6463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1760284293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E OXFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254421",
            "telephone_number": "908-420-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LIMEKILN PIKE STE 13",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022901",
            "telephone_number": "267-603-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM S RUDIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "RUDIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-420-1744"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Glen Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.