Individual
BENJAMIN REESE RUDSENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7731 OLD CANTON RD STE A, MADISON, MS 39110-6115
(601) 853-3565
(601) 853-3598
Mailing address
PO BOX 1547, MADISON, MS 39130-1547
(601) 853-3565
(601) 853-3598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4077-19
MS
Other
Enumeration date
06/23/2019
Last updated
04/22/2021
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