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
Fax: (956) 682-9806
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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