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

Lisa Marie Rudolph, DMD

Individual provider Pediatric Dentistry · NPI 1093031742

Lisa Marie Rudolph, DMD is a Pediatric Dentistry in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2010
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

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone: (513) 636-4641
Fax: (513) 636-8283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30.023574 (OH)

Record details

NPI number1093031742
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 19, 2010
Last updated in NPPESJuly 30, 2013

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