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

Edward Rudolph

Individual provider General Practice Dentistry · NPI 1457649824

Edward Rudolph is a General Practice Dentistry in New Square, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

728 N Main St
New Square, NY 10977-8916
Phone: (845) 354-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 056060-1 (NY)

Record details

NPI number1457649824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2011
Last updated in NPPESJuly 17, 2012
Mailing address490 W 187th St, Apt 4h, New York, NY 10033-1513

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