# RUDOLPH R LEIDL DMD FACD PA

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

## Provider details

- **NPI number:** 1194895466
- **Authorized official:** DR. RUDOLPH R LEIDL DMD (OWNER PRESIDENT)
- **Authorized official phone:** (908) 876-3458

## Contact information

- **Practice address:** 2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853
- **Practice address phone:** (908) 876-3458
- **Practice address fax:** (908) 876-9121
- **Mailing address:** 2 MOUNTAIN VIEW AVE, LONG VALLEY, NJ 07853
- **Mailing address phone:** (908) 876-3458
- **Mailing address fax:** (908) 876-9121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01106300 | NJ | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020