MEDICARE: DR. SARA BETH RUDOLPH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019026167	IL
2	122300000X	Dentist	D009520	AZ

General Provider Information

NPI Number	:	1457403917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA BETH RUDOLPH D.D.S.

Provider Business Mailing Address
First Line	:	3539 S STERLING CT
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-4942
Country	:	US
Telephone Number	:	773-430-7272
Fax Number	:

Provider Business Practice Location Address
First Line	:	21321 E OCOTILLO RD
Second Line	:	BUILDING E SUITE 112
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-5996
Country	:	US
Telephone Number	:	480-882-9710
Fax Number	:	480-882-9706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/07/2016

Similar Medicare Providers

1326435439 — JADE MATTERN MSN, AGACNP-BC
Practice Location Address:

21321 E OCOTILLO RD , SUITE #M131
QUEEN CREEK, AZ
85142-5996

Practice Phone: 480-636-1225
Practice Fax: 480-636-8890

1881431351 — MADISON CHRISTINE KOWALSKI PA-C
Practice Location Address:

21321 E OCOTILLO RD STE 133-134
QUEEN CREEK, AZ
85142-5996

Practice Phone: 480-987-5525
Practice Fax: 480-987-5115

1710609128 — KATY DODT FNP
Practice Location Address:

21321 E OCOTILLO RD
QUEEN CREEK, AZ
85142-5996

Practice Phone: 480-987-5525
Practice Fax: 480-987-5115

1538209275 — DR. NICOLE CHRISTINE GAITANIS-IOLI D.C.
Practice Location Address:

21321 E OCOTILLO RD , B105 ROOM 10
QUEEN CREEK, AZ
85142-5996

Practice Phone: 480-205-6951
Practice Fax:

1568658581 — DR. CATHERINE GIBBONS D.D.S.
Practice Location Address:

21321 E OCOTILLO RD , SUITE 133
QUEEN CREEK, AZ
85142-5996

Practice Phone: 480-882-9991
Practice Fax:

1033441514 — QUEEN CREEK COUNSELING LLC
Practice Location Address:

21321 E OCOTILLO RD , B-105
QUEEN CREEK, AZ
85142-5996

Practice Phone: 480-258-2915
Practice Fax: 480-888-0231

Directions to “ DR. SARA BETH RUDOLPH D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.