Individual
DR. BRYAN MICHAEL RUDUSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1662 US RR 1, WELLS, ME 04090-0497
(207) 646-2520
(207) 646-2540
Mailing address
PO BOX 497, WELLS, ME 04090-0497
(207) 646-2520
(207) 646-2540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3612
ME
1223G0001X
General Practice Dentistry
Primary
3612
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039863
ANTHEM
—
01
—
Z89511
ANTHEM BLUE CROSS
—
Enumeration date
07/26/2005
Last updated
09/11/2025
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