IndividualActive
Travis Rudd, DDS
NPI 1255579264 · Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM
Provider details
- NPI number
- 1255579264
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DD3881 (NM)
Specialties & taxonomies
Dental Providers
Practice location
10151 Montgomery Blvd Ne
Suite 2d
Albuquerque, NM 87111-3670
Phone: (505) 292-3400
Fax: (505) 292-7124
Approximate (ZIP-level) locationGet directions
Mailing address
10151 Montgomery Blvd Ne
Albuquerque, NM 87111-3670
Registry dates
- Enumerated
- 2009-01-29
- Last updated
- 2013-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.