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DR. LUCAS JOHN RUDELICH DDS
NPI 1477096667
Dentist in Taylorsville, UT

Active since November 21, 2016
5255 S 4015 W, SUITE #180, TAYLORSVILLE, UT 84129(801) 968-9003(801) 968-9069 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lucas John Rudelich Dds NPPES

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

DR. LUCAS JOHN RUDELICH DDS (NPI 1477096667) is an individual dentist in Taylorsville, Utah, licensed in Utah (10165628-9922) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1477096667
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LUCAS JOHN RUDELICHCredential: DDS
Location Address5255 S 4015 W, SUITE #180Taylorsville, UT 84129-4257
Mailing Address5255 S 4015 W, Suite #180Taylorsville, UT 84129-4257 · (801) 968-9003 · Fax (801) 968-9069
Phone(801) 968-9003
Fax(801) 968-9069
Sole ProprietorNo
Enumeration DateNovember 21, 2016
✔ NPI 1477096667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 10165628-9922
Definition
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.
5255 S 4015 W, Taylorsville, UT 84129
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.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.

MICHELLE NELSON LCSW
Social Worker (Clinical)
5255 S 4015 W, #207 A-B
TAYLORSVILLE, UT 84129
Salt Lake County (801) 680-3255
DR. CRAIG JAMES CAMPBELL D.P.M.
Podiatrist (Foot & Ankle Surgery)
5255 S 4015 W, SUITE 140
SALT LAKE CITY, UT 84129
Salt Lake County (801) 969-1434
CRAIG J CAMPBELL DPM PC
Clinic/Center (Podiatric)
5255 S 4015 W, SUITE 140
SALT LAKE CITY, UT 84129
Salt Lake County (801) 969-1434
CRAIG J CAMPBELL DPM PC
Durable Medical Equipment & Medical Supplies
5255 S 4015 W, #140
SALT LAKE CITY, UT 84129
Salt Lake County (801) 969-1434

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 Lucas Rudelich's NPI number?

The NPI number for Lucas Rudelich is 1477096667. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Where is Lucas Rudelich located?

Lucas Rudelich practices at 5255 S 4015 W Suite #180, Taylorsville, UT 84129. The listed phone number is (801) 968-9003.

What is Lucas Rudelich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Lucas Rudelich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Lucas 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 Lucas Rudelich was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.