# SARA E RUDDY DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114604717
- **Authorized official:** DR. SARA E RUDDY DDS (PRESIDENT)
- **Authorized official phone:** (248) 547-5115

## Contact information

- **Practice address:** 3083 COOLIDGE HWY, BERKLEY, MI 48072-3523
- **Practice address phone:** (248) 547-5115
- **Practice address fax:** (248) 547-5613
- **Mailing address:** 3083 COOLIDGE HWY, BERKLEY, MI 48072-3523
- **Mailing address phone:** (248) 547-5115
- **Mailing address fax:** (248) 547-5613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2023
- **Last updated:** 07/05/2023