Jeremy I Rudd is a General Practice in Mansfield, Texas. Jeremy I Rudd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeremy I Rudd is 1073602645. The last update date is 2009-05-26.
Jeremy I Rudd's current location address is 1750 E Broad St, Mansfield, Texas. You can contact this provider via phone number 8174736857 and fax number 8174736256. The mailing address for Jeremy I Rudd is 1750 E Broad St, Mansfield, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy I Rudd |
|---|---|
| Address | 1750 E Broad St, Mansfield, Texas |
| Phone Number | 8174736857 |
| Fax Number | 8174736256 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1073602645 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2009-05-26 |
Provider Mailing Address Detail
| Address | 1750 E Broad St |
|---|---|
| City | Mansfield |
| State | Texas (TX) |
| Post Code | 760633400 |
| Phone Number | 8174736857 |
| Fax Number | 8174736256 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22486 |
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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 10-digit identification code issued to Jeremy I Rudd by the Centers for Medicare & Medicaid Services?
The Jeremy I Rudd has been assigned the NPI (National Provider Identifier) 1073602645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jeremy I Rudd's facilities are situated?
The facilities of Jeremy I Rudd are physically located at the following address: 1750 E Broad St, Mansfield, TX, 760633400.
What is Jeremy I Rudd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy I 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 issue the 1073602645 to Jeremy I Rudd?
The Jeremy I Rudd received its 1073602645 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the information regarding Jeremy I Rudd most recently updated?
The details pertaining to the Jeremy I Rudd, including its address, specialty, and other relevant information, were last refreshed on 2009-05-26.