Rudd, Jeremy I
Rudd, Jeremy I is an individual health care provider with primary practice located at 1750 E Broad St , Mansfield TX 76063-3400. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rudd, Jeremy I can be contacted via phone (817) 473-6857.Contact Information
Primary practice address
1750 E Broad St
Mansfield TX 76063-3400
Phone: (817) 473-6857
Fax: (817) 473-6256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22486 | Texas |
Profile Details
| NPI number | 1073602645 |
|---|---|
| LBN Legal business name | Rudd, Jeremy I |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 26th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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