Dr Jacob Judd, DDS - Dentist in Wichita, KS

Dr Jacob Judd, DDS is a Dentist - Endodontics based in Wichita, Kansas. Dr Jacob Judd is licensed to practice in Kansas (license number 929) and his current practice location is 7721 W 21st St N, Wichita, Kansas. He can be reached at his office (for appointments etc.) via phone at (316) 681-1099.

NPI number for Dr Jacob Judd is 1295416139 and his current mailing address is 652 W 163rd St Apt 28, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295416139.

Contact Information

Dr Jacob Judd, DDS
7721 W 21st St N,
Wichita, KS 67205-1737
(316) 681-1099
(316) 613-2417

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Judd
GenderMale
SpecialityDentist - Endodontics
Location7721 W 21st St N, Wichita, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295416139
  • Provider Enumeration Date: 07/25/2023
  • Last Update Date: 07/16/2024

Medical Identifiers

Medical identifiers for Dr Jacob Judd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295416139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 62079 (Kansas)Secondary
122300000XDentist 22DI02950800 (New Jersey)Secondary
1223E0200XDentist - Endodontics 929 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Judd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Judd, DDS
652 W 163rd St Apt 28,
New York, NY 10032-4515

Ph: () -
Dr Jacob Judd, DDS
7721 W 21st St N,
Wichita, KS 67205-1737

Ph: (316) 681-1099

Reviews and Comments


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