Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rudy Max Ketchie, DMD

Individual provider General Practice Dentistry · NPI 1619912912

Dr. Rudy Max Ketchie, DMD is a General Practice Dentistry in Statesville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1316 Davie Ave Ste B
Statesville, NC 28677-3561
Phone: (704) 873-2141
Fax: (704) 873-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3467 (NC)

Record details

NPI number1619912912
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 19, 2006
Last updated in NPPESNovember 5, 2021

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