DR. MITCHELL G RUDD DDS
NPI 1124111323
Dentist - Endodontics in Salt Lake City, UT

Active since October 02, 2006
1955 S 1300 E STE 6, SALT LAKE CITY, UT 84105(801) 487-0758(801) 487-0750 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mitchell G Rudd Dds NPPES

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

DR. MITCHELL G RUDD DDS (NPI 1124111323) is an individual endodontics provider in Salt Lake City, Utah, licensed in Utah (5328713-9922) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1124111323
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MITCHELL G RUDDCredential: DDS
Location Address1955 S 1300 E STE 6Salt Lake City, UT 84105-3684
Mailing Address1955 S 1300 E Ste 6Salt Lake City, UT 84105-3684 · (801) 487-0758 · Fax (801) 487-0750
Fax(801) 487-0750
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 19, 2008
NPI 1124111323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in UT · 5328713-9922
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1955 S 1300 E STE 6, Salt Lake City, UT 84105

Other Identifiers 1

Other01595375UT · United Concordia Number

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Endodontics)
1955 S 1300 E STE 6
SALT LAKE CITY, UT 84105

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 Mitchell Rudd's NPI number?

The NPI number for Mitchell Rudd is 1124111323. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mitchell Rudd located?

Mitchell Rudd practices at 1955 S 1300 E Ste 6, Salt Lake City, UT 84105. The listed phone number is (801) 487-0758.

What is Mitchell Rudd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Mitchell Rudd accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Mitchell Rudd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Rudd was last updated on September 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.