Organization
RUDER HOSPITAL DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH E RUDER II DDS (OWNER)
(901) 412-6323
Entity
Organization
Contact information
Practice address
400 2ND AVE N, AMORY, MS 38821-3513
(662) 256-1582
(662) 256-9860
Mailing address
400 2ND AVE N, AMORY, MS 38821-3513
(662) 256-1582
(662) 256-9860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3450-08
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01738856
—
MS
Enumeration date
09/29/2015
Last updated
09/29/2015
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