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

Dr. Jeremy I Rudd, DMD

Individual provider General Practice Dentistry · NPI 1073602645

Dr. Jeremy I Rudd, DMD is a General Practice Dentistry in Mansfield, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1750 E Broad St
Mansfield, TX 76063-3400
Phone: (817) 473-6857
Fax: (817) 473-6256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22486 (TX)

Record details

NPI number1073602645
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESMay 26, 2009

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