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Active NPI 1073602645 Individual Practitioner Male Practitioner

Dr. Jeremy I Rudd , DMD

Dentist - General Practice • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jeremy Rudd, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mansfield, TX. Practice services are available at 1750 E BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1750 E Broad St

Mansfield, TX 760633400

Telephone 8174736857
Fax 8174736256
Associated Practice Facility / Clinic
🏢 Broad Park Family Dentistry Facility NPI 1154440089

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
40 Specialists

Practicing in Mansfield, TX (10570 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 TX 22486

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Shanna Howze , DDS

Dentist - General Practice

NPI 1043819451

Doctor of Dental Surgery

Dr. Alysa Sadkin , DMD

Dentist - General Practice

NPI 1518522754

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2009

Registered at 1750 E BROAD ST, MANSFIELD, TX 760633400 (Tel: 8174736857)

📍
Updated Business Mailing Address May 26, 2009

Registered at 1750 E BROAD ST, MANSFIELD, TX 760633400 (Tel: 8174736857)

👤
Provider Name / Credentials Updated May 26, 2009

Recorded as JEREMY RUDD, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2009

Dentist (License #22486 in TX)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073602645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: May 26, 2009
Sole Proprietor: No

Mailing Address

1750 E Broad St

Mansfield, TX 760633400

Phone: 8174736857

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.