Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1306917182 Deactivated / Inactive NPI Male Practitioner

Dr. Kevin Harry Rudd , DDS

Dentist - General Practice • St Cloud, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Rudd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 13, 2006
NPI Deactivation Date April 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Rudd, DDS was a registered Dentist - General Practice practicing in St Cloud, FL. Throughout an active medical career spanning 17 years, Dr. Rudd provided care at the practice location at 4301 NEPTUNE RD until profile deactivation on 2023-04-29.

Practice Location & Contact Primary Location

Practice Address

4301 Neptune Rd

St Cloud, FL 34769

Telephone 4078923714
Fax 4078923732

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Cloud, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
1 Specialists

Practicing in St Cloud, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN7954

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4301 NEPTUNE RD, ST CLOUD, FL 34769 (Tel: 4078923714)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4301 NEPTUNE RD, ST CLOUD, FL 34769 (Tel: 4078923714)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN RUDD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN7954 in FL)

🟢
Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kevin Rudd. Be the first to share your experience!

Sign in to leave a review for Dr. Kevin Rudd

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306917182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: July 08, 2007
Deactivation Date: April 29, 2023

Mailing Address

4301 Neptune Rd

St Cloud, FL 34769

Phone: 4078923714

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.