DR. BRYAN MICHAEL RUDUSKY (NPI# 1881694560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881694560 |
| Entity Type | Individual |
| Full Name | DR. BRYAN MICHAEL RUDUSKY |
| Credential | DDS |
| Practice Address |
1662 Us Rr 1 Wells ME 04090-0497 |
| Mailing Address |
Po Box 497 Wells ME 04090-0497 |
| Practice Telephone | 2076462520 |
| Practice Fax Number | 2076462540 |
| Mailing Telephone | 2076462520 |
| Mailing Fax Number | 2076462540 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 3612 | ME | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
3612 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 039863 | 01 | |
| ANTHEM BLUE CROSS | Z89511 | 01 |
| Street Address |
1662 US RR 1 |
| City | WELLS |
| State | ME |
| Zip Code | 04090-0497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239679 | Avita Wells LLC | Alzheimer Center (Dementia Center) | 86 Sanford Road, Wells, ME 04090 | 2016-12-13 |
| 1588811699 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 11 Steeple Way, Wells, ME 04090 | 2008-08-20 |
| 1235322561 | Gregory Evan Thibeault | Physical Therapist | 112 Sanfor Road (rt. 109), Wells Physical Therapy, Wells, ME 04090 | 2007-08-21 |
| 1962604496 | Elizabeth Marie Anderson | Physical Therapist | 57 Cranberry St, Wells, ME 04090 | 2007-06-05 |
| 1285856146 | Sandra Lee Cionni | Speech-Language Pathologist | 867 Cheney Woods Road, Wells, ME 04090 | 2007-05-02 |
| 1265651814 | Wells Ogunquit Community School District | Local Education Agency (LEA) | 1460 Post Road, Wells, ME 04090 | 2007-04-24 |
| 1164649174 | Jus Crea Andrea Giammarino | Preventive Medicine | 1239 Post Road, Wells, ME 04090 | 2007-04-19 |
| 1104902188 | Caren Klein | Social Worker | 43 Sanford Rd, Wells, ME 04090 | 2006-10-31 |
| 1184700155 | Douglas Stephen Merrill | Chiropractor | 2550 Post Road, Wells, ME 04090 | 2006-10-31 |
| 1699860270 | York Hospital Dba Coastal Ob-gyn, LLC | Obstetrics & Gynecology | 112 Sanford Road, Suite 2a, Wells, ME 04090 | 2006-10-03 |
| Find all providers in zip 04090 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023116779 | Gary Lee Hagen | Dentist | 150 3rd St Nw, Wells, MN 56097-0010 | 2006-09-20 |
| 1255317012 | Nii Norte Lokko | Dentist | 1332 Post Rd Ste 1a, Wells, ME 04090-4562 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354559 | Wes Mills | Dentist | 58 Portland Rd Ste 5, Kennebunk, ME 04043-6651 | 2020-10-20 |
| 1871119297 | Alexander Katanov | Dentist | 10 Market Sq Ste 3, South Paris, ME 04281-1573 | 2020-06-22 |
| 1720601321 | Margaret Mary Ellen Palmer | Dentist | 80 Pleasant Street, Brunswick, ME 04011-2203 | 2020-05-19 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1972156727 | Wanho Lew | Dentist | 127 Topsham Fail Mall Rd., Topsham, ME 04086 | 2019-07-22 |
| 1093372906 | Kevin Wright | Dentist | 99 Oak St, Ellsworth, ME 04605-1622 | 2019-05-27 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1801381686 | John Stanley Skvorak IIi | Dentist | 290 Bridgton Rd, Westbrook, ME 04092-3753 | 2018-06-25 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
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| 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.