Dr Jonathan Marius Rodriguez, DDS is a
Dentist based in East Ridge, Tennessee. Dr Jonathan Marius Rodriguez is licensed to practice in Tennessee (license number 12084) and his current practice location is
3824 Ringgold Rd, East Ridge, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 629-6015.
NPI number for Dr Jonathan Marius Rodriguez is 1710361498 and his current mailing address is 115 S Palisades Dr, Signal Mountain, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710361498.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Marius Rodriguez |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 3824 Ringgold Rd, East Ridge, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710361498
- Provider Enumeration Date: 07/13/2015
- Last Update Date: 03/10/2023
Medical Identifiers
Medical identifiers for Dr Jonathan Marius Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710361498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 64680 (California) | Secondary |
| 122300000X | Dentist | 12084 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Marius Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Marius Rodriguez, DDS
115 S Palisades Dr,
Signal Mountain, TN 37377-2920
Ph: (209) 923-3709 | Dr Jonathan Marius Rodriguez, DDS
3824 Ringgold Rd,
East Ridge, TN 37412-1640
Ph: (423) 629-6015 |
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