Mack Timothy Rudd in Oklahoma City - General Practice
Mack Timothy Rudd - NPI 1922173905
Mack Timothy Rudd is a General Practice in Oklahoma City, Oklahoma. Mack Timothy Rudd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mack Timothy Rudd is 1922173905. The last update date is 2007-07-08.
Mack Timothy Rudd's current location address is 1201 N Stonewall Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052715714 and fax number 4052712405. The mailing address for Mack Timothy Rudd is 1201 N Stonewall Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mack Timothy Rudd |
|---|---|
| Address | 1201 N Stonewall Ave, Oklahoma City, Oklahoma |
| Phone Number | 4052715714 |
| Fax Number | 4052712405 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1922173905 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1201 N Stonewall Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731171214 |
| Phone Number | 4052715714 |
| Fax Number | 4052712405 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5906 |
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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. |
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What is the unique identifier code issued to Mack Timothy Rudd by the Centers for Medicare & Medicaid Services (CMS)?
The Mack Timothy Rudd has been assigned the NPI (National Provider Identifier) 1922173905. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mack Timothy Rudd?
The Mack Timothy Rudd is physically situated at 1201 N Stonewall Ave, in the city of Oklahoma City, state of OK, with the postal code 731171214.
What is Mack Timothy Rudd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mack Timothy Rudd is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922173905 to Mack Timothy Rudd?
The Centers for Medicare & Medicaid Services assigned the 1922173905 to Mack Timothy Rudd on 2006-11-22.
As of what date were the Mack Timothy Rudd's details last updated?
The information pertaining to the Mack Timothy Rudd, including its address, specialty, and other details, was most recently updated on 2007-07-08.