Provider Demographics
NPI:1972497071
Name:RUDAVICIUTE, ZYDRUNE (DMD)
Entity type:Individual
Prefix:
First Name:ZYDRUNE
Middle Name:
Last Name:RUDAVICIUTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 BRECKENRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-0931
Mailing Address - Country:US
Mailing Address - Phone:732-998-5950
Mailing Address - Fax:
Practice Address - Street 1:64 E SOMERSET ST
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2177
Practice Address - Country:US
Practice Address - Phone:908-725-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI030956001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice