DR. CAROLYN S RUDE


Address: 205 Hawkins Store Road, Suite A-1, Kennesaw, GA 30144
Phone: 7709263400

DR. CAROLYN S RUDE (NPI# 1689646945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689646945
Entity Type Individual
Full Name DR. CAROLYN S RUDE
Credential D.D.S.
Practice Address 205 Hawkins Store Road
Suite A-1
Kennesaw
GA 30144
Mailing Address 3065 River North Pkwy Nw
Atlanta
GA 30328-1117
Practice Telephone 7709263400
Mailing Telephone 7703967960
Enumeration Date 2006-02-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
8381 GA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000236926A1 05

Office Location

Street Address 205 HAWKINS STORE ROAD
SUITE A-1
City KENNESAW
State GA
Zip Code 30144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740252097 Rochelle Lopyan Dentist 205 Hawkins Store Road, Suite A-1, Kennesaw, GA 30144 2006-02-02

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1033632203 Octavio Andres Tobar Specialist/Technologist 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 2017-07-19
1851829220 Sharon Mcmillan Counselor 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 2017-05-31
1073054680 Metropolitan Health Care Plus Inc Home Health 445 Laurian Way, Kennesaw, GA 30144 2017-03-15
1649627969 Caresouth Hha Holdings of Gainesville, LLC Hospice Care, Community Based 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 2016-05-17
1851745988 Joseph Mulligan Social Worker 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 2016-04-14
1629438601 Youfit Health Clubs Clinic/Center 3895 Cherokee St Suite 100, Kennesaw, GA 30144 2016-03-03
1598156317 Jodie Evans Specialist 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 2015-02-16
1912302134 Sleepmed Therapies, Inc. Durable Medical Equipment & Medical Supplies 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 2014-10-30
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700858032 Elyse M. Morceau Dentist 205 Hawkins Store Rd Nw, Suite 100, Kennesaw, GA 30144-6215 2006-02-02
1942743844 Kennesaw Pediatric Dentistry Dentist 600 Chastain Rd Nw, Suite 426, Kennesaw, GA 30144-3004 2016-11-23
1770948812 Karma Prime LLC Dentist 600 Chastain Rd Nw, Ste 426 - Iclear Orthodontics, Kennesaw, GA 30144-3004 2015-12-16
1184993933 Chandler & Associates Dental Management, Inc. Dentist 5255 Stilesboro Rd Nw, Ste 110, Kennesaw, GA 30152-7737 2011-12-23
1588949689 Anjali Williamson Dentist 5255 Stilesboro Rd Nw, Suite 110, Kennesaw, GA 30152-7737 2011-10-20
1871813295 Legacy Pedo LLC Dentist 3903 Jiles Rd Nw, #210, Kennesaw, GA 30144-4612 2010-06-08
1164687612 Elyse M. Morceau, Dds, PC Dentist 205 Hawkins Store Rd Nw, Suite 100, Kennesaw, GA 30144-6215 2008-07-24
1053464800 Linda Wolf Dentist 205 Hawkins Store Rd Nw, Suite A-1, Kennesaw, GA 30144-6204 2007-01-18
1740252097 Rochelle Lopyan Dentist 205 Hawkins Store Road, Suite A-1, Kennesaw, GA 30144 2006-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740895002 Ashley Starnesdmd LLC Dentist 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 2020-09-14
1912518531 Samuel S Kwon - Athens Dmd PC Dentist 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 2020-08-17
1366060618 A Dental Home 4 Kidz Dentist 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 2020-07-13
1255973566 Rehoboth Life Care Ministries, Inc Dentist 3208 Hwy 41, Byron, Byron, GA 31008 2019-10-09
1629619200 Peachtree Hills Pediatric Dentistry Dentist 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 2019-10-04
1871145557 Dogwood Pediatric Dentistry of Statesboro, LLC Dentist 123 Hill Pond Ln, Statesboro, GA 30458-0872 2019-07-12
1952969396 Ns3 Services, LLC Dentist 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 2019-05-31
1871050872 Warner Robins Pediatric Dentistry LLC Dentist 102 S Houston Rd, Warner Robins, GA 31088-3904 2019-02-26
1730646886 Smiles for Kids Norcross PC Dentist 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 2019-02-25
1073083127 Pediatric Dentistry of Central Georgia - Macon LLC Dentist 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 2018-12-03
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Competitor

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City KENNESAW
Zip Code 30144

Improve Information

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Dataset Information

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.

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