Rudd, Mitchell G
Rudd, Mitchell G is an individual health care provider with primary practice located at 1955 S 1300 E Ste 6 , Salt Lake City UT 84105-3684. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Rudd, Mitchell G can be contacted via phone (801) 487-0758.Contact Information
Primary practice address
1955 S 1300 E Ste 6
Salt Lake City UT 84105-3684
Phone: (801) 487-0758
Fax: (801) 487-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 5328713-9922 | Utah |
Profile Details
| NPI number | 1124111323 |
|---|---|
| LBN Legal business name | Rudd, Mitchell G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 19th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124111323 | NPPES |
| Utah | Other | 01595375 | UNITED CONCORDIA NUMBER |
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