Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Judd, DDS

Individual provider Dentist · NPI 1295416139

Dr. Jacob Judd, DDS is a Dentist in Wichita, Kansas. Works from 2 locations. Licensed in Kansas and New Jersey.

Licensed in
KS, NJ
In the registry since
2023
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7721 W 21st St N
Wichita, KS 67205-1737
Phone: (316) 681-1099
Fax: (316) 613-2417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12219 E Central Ave, Wichita, KS 67206-2808 — (316) 681-1099

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 929 (KS)
Dentist Taxonomy 122300000X · Licence 62079 (KS)
Dentist Taxonomy 122300000X · Licence 22DI02950800 (NJ)

Record details

NPI number1295416139
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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