Provider Demographics
NPI:1679676704
Name:RUDMAN & KANE PA
Entity Type:Organization
Organization Name:RUDMAN & KANE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:N
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-293-6828
Mailing Address - Street 1:807 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769
Mailing Address - Country:US
Mailing Address - Phone:301-293-6828
Mailing Address - Fax:301-371-4989
Practice Address - Street 1:807 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:MD
Practice Address - Zip Code:21769
Practice Address - Country:US
Practice Address - Phone:301-293-6828
Practice Address - Fax:301-371-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7537122300000X
MD7349122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty