DR. EDMUND ROBERT RUDNICKE II (NPI# 1679676951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679676951 |
| Entity Type | Individual |
| Full Name | DR. EDMUND ROBERT RUDNICKE II |
| Credential | D.D.S. |
| Practice Address |
302 E Lincoln St Saint Joseph IL 61873 |
| Mailing Address |
Po Box 678 Saint Joseph IL 61873-0678 |
| Practice Telephone | 2174692202 |
| Practice Fax Number | 2174692213 |
| Mailing Telephone | 2174692202 |
| Mailing Fax Number | 2174692213 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
302 E LINCOLN ST |
| City | SAINT JOSEPH |
| State | IL |
| Zip Code | 61873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497175442 | Athletico Ltd | Physical Therapist | 109 N. Main Street, Saint Joseph, IL 61873 | 2014-04-17 |
| 1225182702 | Alina Paul | Family Medicine | 226 E Lincoln, St Joseph, IL 61873 | 2007-01-22 |
| 1750484036 | Edmund R. Rudnicke II, Prof Corp | Dentist | 302 E Lincoln, St Joseph, IL 61873 | 2006-09-05 |
| 1265618615 | Jmp Counseling and Tutoring Services, LLC | Counselor | 109 N. Main St., St. Joseph, IL 61873 | 2008-01-16 |
| 1942323282 | Bryan Myles Manion | Counselor | 109 N Main St, St Joseph, IL 61873 | 2007-04-10 |
| 1376635078 | Illini Christian Ministries Inc | Psychologist | 204 N Main St, Suite 203, Saint Joseph, IL 61873 | 2006-09-29 |
| 1558335703 | Troy Dean Branson | Chiropractor | 109 N Main, St Joseph, IL 61873-0028 | 2006-02-15 |
| 1417950387 | St. Joseph Drugs, Inc. | Pharmacist | 204 N. Main St., Saint Joseph, IL 61873-0500 | 2005-05-24 |
| 1285668830 | St. Joseph Drugs, Inc | Pharmacy | 204 N. Main, St. Joseph, IL 61873-0500 | 2006-07-10 |
| 1780868711 | Chi Kim Le | Dentist | 302 E Lincoln, St Joseph, IL 61873-0678 | 2007-12-27 |
| Find all providers in zip 61873 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861878308 | Bradley Scott Williams | Dentist | 5101 N Belt Hwy, Saint Joseph, MO 64506-1261 | 2015-08-06 |
| 1184968695 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4112 N Belt Hwy, Saint Joseph, MO 64506-1281 | 2012-11-21 |
| 1891085676 | Charles Howenstine | Dentist | 3386 Niles Rd, Saint Joseph, MI 49085-8800 | 2011-04-13 |
| 1366620304 | Richard Carl Hake | Dentist | 1626 Langley Ave, Saint Joseph, MI 49085-1733 | 2008-02-01 |
| 1750591665 | Arthur Scott Nelson | Dentist | 2401 Frederick Ave, Saint Joseph, MO 64506-2727 | 2007-05-23 |
| 1376760611 | Lisa Ann Goin | Dentist | 805 N 36th St, Suite A, Saint Joseph, MO 64506-2979 | 2007-04-19 |
| 1578789939 | Robert. L. Brunker, D.d.s., P.C. | Dentist | 103 S 36th St, Saint Joseph, MO 64506-2920 | 2007-04-17 |
| 1558586248 | M Ichael Frank Contardo | Dentist | 26 2nd Ave Nw, Saint Joseph, MN 56374-4106 | 2007-04-16 |
| 1962520833 | George Robert Ruwwe Jr. | Dentist | 710 Felix St, Saint Joseph, MO 64501-2236 | 2007-03-27 |
| 1669597043 | W R Ted Kuball | Dentist | 3012 Niles Rd, Saint Joseph, MI 49085-8653 | 2007-03-21 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 61873 |
Please comment or provide details below to improve the information on DR. EDMUND ROBERT RUDNICKE II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.