NPI 1326254483 · live from the CMS NPI Registry
Kimberly Ann Jones-Rudolph, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1326254483, active.
NPI record
| NPI | 1326254483 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2696 Olivia Heights Ave, Henderson, NV 89052 |
| Practice phone | 610-800-5747 |
| Enumerated | May 15, 2007 |
| Last updated | April 23, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DS030453L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.