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DR. JEREMY I RUDD D.M.D.
NPI 1073602645
Dentist - General Practice in Mansfield, TX

Active since October 12, 2006
1750 E BROAD ST, MANSFIELD, TX 76063(817) 473-6857(817) 473-6256 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy I Rudd D.m.d. NPPES

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

DR. JEREMY I RUDD D.M.D. (NPI 1073602645) is an individual general practice provider in Mansfield, Texas, licensed in Texas (22486) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1073602645
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMY I RUDDCredential: D.M.D.
Location Address1750 E BROAD STMansfield, TX 76063-3400
Mailing Address1750 E Broad StMansfield, TX 76063-3400 · (817) 473-6857 · Fax (817) 473-6256
Phone(817) 473-6857
Fax(817) 473-6256
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 26, 2009
✔ NPI 1073602645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 22486
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.
1750 E BROAD ST, Mansfield, TX 76063
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANNA HOWZE DDS
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857
BROAD PARK DENTAL PA
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857
BROAD PARK FAMILY DENTISTRY
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857
ALYSA BROOKE SADKIN DMD
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857

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 Jeremy Rudd's NPI number?

The NPI number for Jeremy Rudd is 1073602645. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jeremy Rudd located?

Jeremy Rudd practices at 1750 E Broad St, Mansfield, TX 76063. The listed phone number is (817) 473-6857.

What is Jeremy Rudd's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Rudd was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.