DR POLINA RHOUDENKO DMD INC
NPI 1013679638
Dentist - General Practice in Fullerton, CA

Active since October 11, 2021
100 LAGUNA RD STE 210, FULLERTON, CA 92835(714) 716-1783 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Oct 11, 2021 (2 updates tracked since 2021).

About Dr Polina Rhoudenko Dmd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR POLINA RHOUDENKO DMD INC (NPI 1013679638) is a healthcare organization registered as a general practice in Fullerton, California and active in the NPI registry since October 2021. The organization lists Polina Rhoudenko, Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1013679638
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR POLINA RHOUDENKO DMD INC
Location Address100 LAGUNA RD STE 210Fullerton, CA 92835-3633
Mailing Address12021 Wilshire Blvd Ste 321Los Angeles, CA 90025-1206 · (714) 716-1783
Organization SubpartNo
Authorized OfficialPolina RhoudenkoDentist/president · (714) 716-1783
Enumeration DateOctober 11, 2021
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1013679638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

100 LAGUNA RD STE 210, Fullerton, CA 92835

Other Identifiers 2

Other106839CA · Dentist
Medicaid1508448861CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
100 LAGUNA RD STE 210
FULLERTON, CA 92835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Polina Rhoudenko Dmd Inc's NPI number?

The NPI number for Dr Polina Rhoudenko Dmd Inc is 1013679638. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Dr Polina Rhoudenko Dmd Inc located?

Dr Polina Rhoudenko Dmd Inc is located at 100 Laguna Rd Ste 210, Fullerton, CA 92835. The listed phone number is (714) 716-1783.

What is Dr Polina Rhoudenko Dmd Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dr Polina Rhoudenko Dmd Inc accept?

Health plans from UnitedHealthcare list Dr Polina Rhoudenko Dmd Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr Polina Rhoudenko Dmd Inc was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.