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

Mack Timothy Rudd, DDS

Individual provider General Practice Dentistry · NPI 1922173905

Mack Timothy Rudd, DDS is a General Practice Dentistry in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
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

1201 N Stonewall Ave Rm 494
Oklahoma City, OK 73117-1214
Phone: (405) 271-5714
Fax: (405) 271-2405
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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 5906 (OK)

Record details

NPI number1922173905
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 8, 2007

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