Individual provider · Type 1 NPI

Travis C. Rudd, DDS

Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM

NPI number 1255579264 Active

Practice location

10151 Montgomery Blvd NE, Suite 2D
Albuquerque, NM 87111-3670

Fax (505) 292-7124

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDD3881 (NM)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1255579264

Travis C. Rudd, DDS's National Provider Identifier is 1255579264, issued on Jan 29, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 25, 2013.