NICK J RUDELICH DDS
NPI 1356465355
Dentist - General Practice in Salt Lake City, UT

Active since March 17, 2007
5255 S 4015 W, SUITE 180, SALT LAKE CITY, UT 84118(801) 968-9003(801) 968-9069 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nick J Rudelich Dds NPPES

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

NICK J RUDELICH DDS (NPI 1356465355) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (139628) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1356465355
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNICK J RUDELICHCredential: DDS
Location Address5255 S 4015 W, SUITE 180Salt Lake City, UT 84118-4257
Mailing Address5255 S 4015 W, Suite 180Salt Lake City, UT 84118-4257 · (801) 968-9003 · Fax (801) 968-9069
Fax(801) 968-9069
Sole ProprietorYes
Enumeration DateMarch 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356465355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 139628
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.
5255 S 4015 W, Salt Lake City, UT 84118

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
5255 S 4015 W, SUITE 180
SALT LAKE CITY, UT 84118
Clinic/Center (Physical Therapy)
5255 S 4015 W, SUITE 205
TAYLORSVILLE, UT 84118
Physical Therapist
5255 S 4015 W, SUITE 205
TAYLORSVILLE, UT 84118
Dentist (General Practice)
5255 S 4015 W, SUITE 180
SALT LAKE CITY, UT 84118

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 Nick Rudelich's NPI number?

The NPI number for Nick Rudelich is 1356465355. It was assigned to this individual provider in the NPPES registry on March 17, 2007.

Where is Nick Rudelich located?

Nick Rudelich practices at 5255 S 4015 W Suite 180, Salt Lake City, UT 84118. The listed phone number is (801) 968-9003.

What is Nick Rudelich's specialty?

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

What insurance does Nick Rudelich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 10 other insurers list Nick Rudelich 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 Nick Rudelich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.