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Jeremy Rudd, D.M.D

NPI 1073602645 · on the registry since 2006

Practice

Address: 1750 E Broad St
Mansfield, TX 76063
Phone: (817) 473-6857
Fax: (817) 473-6256
Organisation at this address: Broad Park Dental Pa
Broad Park Family Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: General Practice Dentistry
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas