MEDICARE: RODE & ALT PEDIATRIC DENTAL PARTNERSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1386503837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODE & ALT PEDIATRIC DENTAL PARTNERSHIP

Provider Business Mailing Address
First Line	:	2221 SUNSET BLVD STE 101
Second Line	:
City	:	ROCKLIN
State	:	CA
Zip	:	95765-4784
Country	:	US
Telephone Number	:	916-435-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 SUNSET BLVD STE 101
Second Line	:
City	:	ROCKLIN
State	:	CA
Zip	:	95765-4784
Country	:	US
Telephone Number	:	916-435-9100
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	JESSICA ALT
Credential	:	DDS
Telephone Number	:	702-376-1123

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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