Rude, Carolyn S

Rude, Carolyn S is an individual health care provider with primary practice located at 205 Hawkins Store Road Suite A-1, Kennesaw GA 30144. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Rude, Carolyn S can be contacted via phone (770) 926-3400.

Contact Information

Primary practice address
205 Hawkins Store Road Suite A-1 Kennesaw GA 30144
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8381 Georgia

Profile Details

NPI number 1689646945
LBN Legal business name Rude, Carolyn S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689646945 NPPES
Georgia MEDICAID 000236926A1

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