Rudolph, Keith L.

Rudolph, Keith L. is an sole proprietor health care provider with primary practice located at 140 Sherman St , Fairfield CT 06824-5849. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rudolph, Keith L. can be contacted via phone (203) 254-9533.

Contact Information

Primary practice address
140 Sherman St Fairfield CT 06824-5849
Phone: (203) 254-9533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 006950 Connecticut

Profile Details

NPI number 1124293196
LBN Legal business name Rudolph, Keith L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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