1. Home
  2. Directory
  3. California
  4. Fullerton
  5. Dentist
  6. NPI Profile

DR. POLINA FEDOROVNA RHOUDENKO DMD
NPI 1508448861
Dentist - General Practice in Fullerton, CA

Active since April 26, 2021
100 LAGUNA RD STE 210, FULLERTON, CA 92835(714) 716-1783(949) 749-6620 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Dr. Polina Fedorovna Rhoudenko Dmd NPPES

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

DR. POLINA FEDOROVNA RHOUDENKO DMD (NPI 1508448861) is an individual general practice provider in Fullerton, California, licensed in California (106839) and active in the NPI registry since April 2021. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1508448861
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. POLINA FEDOROVNA RHOUDENKOCredential: DMD
Location Address100 LAGUNA RD STE 210Fullerton, CA 92835-3633
Mailing Address12021 Wilshire Blvd Unit 321Los Angeles, CA 90025-1206 · (714) 746-1923
Phone(714) 716-1783
Fax(949) 749-6620
Sole ProprietorYes
Enumeration DateApril 26, 2021
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1508448861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 106839
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
Open in Google Maps ↗

Secondary Practice Location 1

Location 14060 Fairmount AveSan Diego, CA 92105-1608 · Phone (619) 990-9859

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

DR POLINA RHOUDENKO DMD INC
Dentist (General Practice)
100 LAGUNA RD STE 210
FULLERTON, CA 92835
Orange County (714) 716-1783

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 Polina Rhoudenko's NPI number?

The NPI number for Polina Rhoudenko is 1508448861. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Polina Rhoudenko located?

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

What is Polina Rhoudenko's specialty?

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

What insurance does Polina Rhoudenko accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Polina Rhoudenko 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 Polina Rhoudenko was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.