Search › Kansas › 1223E0200X
Jacob Judd, DDS
NPI 1295416139 · on the registry since 2023
Practice
- Address
- 7721 W 21st St N
Wichita, KS 67205 - Phone
- (316) 681-1099
- Fax
- (316) 613-2417
Additional practice sites
- 12219 E Central Ave, Wichita, KS
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 122300000X
122300000X - Licence states on file
- KS, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-16
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 Kansas