# DR. STUART JAY RUPP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386164754
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 1001852 | WI | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5334 | ID | — |

## Other

- **Enumeration date:** 06/26/2017
- **Last updated:** 06/30/2025