| Carlos Rodriguez Dds | |
|
1301 Medical Park Cir Union City TN 38261-5877 | |
| (731) 885-0355 | |
| (731) 885-8224 |
| Full Name | Carlos Rodriguez Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 Medical Park Cir, Union City, Tennessee |
| Authorized Official Name and Position | Carlos S Rodriguez (DENTIST) |
| Authorized Official Contact | 7318850355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Rodriguez Dds 1301 Medical Park Cir Union City TN 38261-5877 Ph: (731) 885-0355 | Carlos Rodriguez Dds 1301 Medical Park Cir Union City TN 38261-5877 Ph: (731) 885-0355 |
| NPI Number | 1265720379 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265720379 | NPI | - | NPPES |
| 1516146 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7217 (Tennessee) | Primary |
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