Organization
BROAD PARK DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ISRAEL RUDD DMD (OWNER)
(817) 473-6857
Entity
Organization
Contact information
Practice address
1750 E BROAD ST, MANSFIELD, TX 76063-3400
(817) 473-6857
(817) 473-3256
Mailing address
1750 E BROAD ST, MANSFIELD, TX 76063-3400
(817) 473-6857
(817) 473-3256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22486
TX
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us