Provider Demographics
NPI:1053312769
Name:RUDEY, FRANK P (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:RUDEY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4033 TALBOT RD S
Mailing Address - Street 2:SUITE #240
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5772
Mailing Address - Country:US
Mailing Address - Phone:425-430-1320
Mailing Address - Fax:
Practice Address - Street 1:4033 TALBOT RD S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5700
Practice Address - Country:US
Practice Address - Phone:425-430-1320
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA94741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics