National Provider Identifier
Isolde Gina Rojas-Rudolph, DDS, PHD
Isolde Gina Rojas-Rudolph, DDS, PHD is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 829-2836.
Profile Overview
- NPI
- 1437647419
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 25, 2018
- Last Updated
- December 04, 2019
Practice Location
- 325 Squire Hall
- Buffalo, NY 14214-8006
Phone: (716) 829-2836
Mailing Address
- 250 Squire Hall
- Buffalo, NY 14214-8006
Specialties
- Dentist (122300000X)
- Dentist (122300000X)
Full Record
- NPI
- 1437647419
- Entity Type
- Individual
- Last Name
- Rojas-Rudolph
- First Name
- Isolde
- Middle Name
- Gina
- Name Prefix
- Dr.
- Credential
- DDS, PHD
- Provider Other Last Name
- Rojas Rudolph
- Provider Other First Name
- Isolde
- Provider Other Middle Name
- Gina
- Provider Other Credential Text
- DDS, PHD
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 250 Squire Hall
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-8006
- Mailing Country
- US
- Mailing Phone
- (716) 829-3845
- Mailing Fax
- (716) 829-6840
- Practice Street Address
- 325 Squire Hall
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-8006
- Practice Country
- US
- Practice Phone
- (716) 829-2836
- Practice Fax
- (716) 833-3517
- Enumeration Date
- April 25, 2018
- Last Updated
- December 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Dentist (122300000X)
- Other Identifiers
- 000081-1 (NY, License For Dentist As Dental Faculty), 774 (NY, Provider Number At The University At Buffalo School Of Dental Medicine)