Rodriguez, John G
Rodriguez, John G is an sole proprietor health care provider with primary practice located at 2939 Regency Dr , Edinburg TX 78539-2216. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Rodriguez, John G can be contacted via phone (956) 630-4900.Contact Information
Primary practice address
2939 Regency Dr
Edinburg TX 78539-2216
Phone: (956) 630-4900
Fax: (956) 682-9806
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 14566 | Texas |
Dental Providers / Dentist | 122300000X | 14566 | Texas |
Profile Details
NPI number | 1548346653 |
---|---|
LBN Legal business name | Rodriguez, John G |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2006 |
Last updated | Apr 26th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548346653 | NPPES |
Texas | Other | 693641 | UNITED CONCORDIA PROVIDER |
Texas | Other | D14566 | UNITED CONCORDIA PROVIDER |
Texas | MEDICAID | 120777102 | UNITED CONCORDIA PROVIDER |
Texas | Other | B14566 | UNITED CONCORDIA PROVIDER |
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