Tejada, Rodolfo
Tejada, Rodolfo is an individual health care provider with primary practice located at 2435 S Volusia Ave Ste D2 , Orange City FL 32763-7643. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Tejada, Rodolfo can be contacted via phone (386) 878-4395.Contact Information
Primary practice address
2435 S Volusia Ave Ste D2
Orange City FL 32763-7643
Phone: (386) 878-4395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN20826 | Florida |
Profile Details
| NPI number | 1427345057 |
|---|---|
| LBN Legal business name | Tejada, Rodolfo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2011 |
| Last updated | Jul 1st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427345057 | NPPES |
| Florida | MEDICAID | 023632900 |
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