Dr. Andrew Rudnick, DMD
Dentist in Jupiter, FL. Individual provider (NPI-1).
NPI number1154416626
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154416626
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Rudnick
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0014987 | FL | Yes |
Practice location
5440 Military TrailSuite 11
Jupiter, FL 33458
Phone 561-493-8299
Mailing address
5440 Military TrailSuite 11
Jupiter, FL 33458
Phone 561-493-8299
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