Rodman, Victor E.

Rodman, Victor E. is an individual health care provider with primary practice located at 231 Nw 72Nd St , Gladstone MO 64118-1821. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Rodman, Victor E. can be contacted via phone (816) 436-5900.

Contact Information

Primary practice address
231 Nw 72Nd St Gladstone MO 64118-1821
Phone: (816) 436-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 010601 Missouri

Profile Details

NPI number 1396739652
LBN Legal business name Rodman, Victor E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396739652 NPPES
Missouri Other 05705013 BLUE CROSS BLUE SHIELD

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