Melissa L Rudolph, DDS - Dentist in Peoria, AZ

Melissa L Rudolph, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Peoria, Arizona. Melissa L Rudolph is licensed to practice in Arizona (license number D8372) and her current practice location is 8085 W Bell Rd, Suite #103, Peoria, Arizona. She can be reached at her office (for appointments etc.) via phone at (623) 878-5400.

NPI number for Melissa L Rudolph is 1053541888 and her current mailing address is 8085 W Bell Rd, Suite #103, Peoria, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053541888.

Contact Information

Melissa L Rudolph, DDS
8085 W Bell Rd, Suite #103,
Peoria, AZ 85382-3825
(623) 878-5400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMelissa L Rudolph
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location8085 W Bell Rd, Peoria, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053541888
  • Provider Enumeration Date: 07/14/2009
  • Last Update Date: 08/05/2013

Medical Identifiers

Medical identifiers for Melissa L Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053541888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics D8372 (Arizona)Primary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 26166 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa L Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa L Rudolph, DDS
8085 W Bell Rd, Suite #103,
Peoria, AZ 85382-3825

Ph: (623) 878-5400
Melissa L Rudolph, DDS
8085 W Bell Rd, Suite #103,
Peoria, AZ 85382-3825

Ph: (623) 878-5400

Reviews and Comments


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