Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366545741 Deactivated / Inactive NPI Male Practitioner

Dr. William John Rudge , DDS

Dentist - General Practice • Lakewood, OH

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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, Dr. William Rudge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2006
NPI Deactivation Date April 19, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. William Rudge, DDS was a registered Dentist - General Practice practicing in Lakewood, OH. Throughout an active medical career spanning 15 years, Dr. Rudge provided care at the practice location at 14701 DETROIT AVE until profile deactivation on 2021-04-19.

Practice Location & Contact Primary Location

Practice Address

14701 Detroit Ave
#235

Lakewood, OH 441074109

Telephone 2162261052
Associated Practice Facility / Clinic
🏢 Lakewood Pediatrics Facility NPI 1669565578

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lakewood, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Lakewood, OH (4287 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30-011475

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1750544557

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 19, 2021

Record deactivated on April 19, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 14701 DETROIT AVE, #235, LAKEWOOD, OH 441074109 (Tel: 2162261052)

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Updated Business Mailing Address July 08, 2007

Registered at 14701 DETROIT AVE, #235, LAKEWOOD, OH 441074109 (Tel: 2162261052)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM RUDGE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #30-011475 in OH)

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Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366545741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: July 08, 2007
Deactivation Date: April 19, 2021

Mailing Address

14701 Detroit Ave, #235

Lakewood, OH 441074109

Phone: 2162261052

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.