Rudy Carballo DDS PA

NPI #1801765813 in North Port, Florida

Provider Information

NPI Number: 1801765813
Entity Type: Organization
Organization Name: Rudy Carballo DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 30, 2025
Last Updated: Oct 30, 2025

Practice Location

Address: 4901 WHITE IBIS DR
City: North Port
State: Florida
ZIP Code: 34287-2641
Phone: (941) 257-8555

Authorized Official

Name: DR. RODOLFO CARBALLO, DDS
Title: DENTIST/OWNER
Phone: (941) 257-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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