Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710408216 Deactivated / Inactive NPI Male Practitioner

Maxwell Rudie

Dentist • Gainesville, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Maxwell Rudie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2017
NPI Deactivation Date April 12, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Maxwell Rudie was a registered Dentist practicing in Gainesville, FL. Throughout an active medical career spanning 5 years, Maxwell Rudie provided care at the practice location at PO BOX 100426 until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

Po Box 100426

Gainesville, FL 326100426

Telephone 3522737631

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
188 Specialists

Practicing in Gainesville, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 1743

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Lorielle Alter , DMD

Dentist - Pediatric Dentistry

NPI 1023444585

Doctor of Dental Medicine

Dr. Ronda Moore , DDS

Dentist - Pediatric Dentistry

NPI 1033474176

Doctor of Dental Surgery

Dr. Brandon Millard , DMD

Dentist - Pediatric Dentistry

NPI 1093446338

Doctor of Dental Medicine

Dr. Kyle Miller , DMD

Dentist - Pediatric Dentistry

NPI 1144951096

Doctor of Dental Medicine

James Skvor

Dentist - Pediatric Dentistry

NPI 1225521669
Dr. Andy Kang , DDS

Dentist - Pediatric Dentistry

NPI 1235625351

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 12, 2022

Record deactivated on April 12, 2022

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2017

Registered at PO BOX 100426, GAINESVILLE, FL 326100426 (Tel: 3522737631)

📍
Updated Business Mailing Address July 05, 2017

Registered at 4700 SW ARCHER RD APT 4, GAINESVILLE, FL 326083885

👤
Provider Name / Credentials Updated July 05, 2017

Recorded as MAXWELL RUDIE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Dentist (License #1743 in FL)

🟢
Initial NPI Registration & Enumeration July 05, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Maxwell Rudie. Be the first to share your experience!

Sign in to leave a review for Maxwell Rudie

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710408216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2017
Last Update: July 05, 2017
Deactivation Date: April 12, 2022

Mailing Address

4700 Sw Archer Rd Apt 4

Gainesville, FL 326083885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.