Childress, Rodney Wayne

Childress, Rodney Wayne is an individual health care provider with primary practice located at 308 N Mcclelland St , Santa Maria CA 93454-4411. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Childress, Rodney Wayne can be contacted via phone (805) 922-4352.

Contact Information

Primary practice address
308 N Mcclelland St Santa Maria CA 93454-4411
Phone: (805) 922-4352
Fax: (805) 346-6511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 26608 California

Profile Details

NPI number 1962589275
LBN Legal business name Childress, Rodney Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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