Healthcare Provider Details

I. General information

NPI: 1841283967
Provider Name (Legal Business Name): RODNEY RICHARD PARSELL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 TRAIL DR
NAPOLEON OH
43545-1068
US

IV. Provider business mailing address

655 TRAIL DR
NAPOLEON OH
43545-1068
US

V. Phone/Fax

Practice location:
  • Phone: 419-592-7100
  • Fax: 419-592-7100
Mailing address:
  • Phone: 419-592-7100
  • Fax: 419-592-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3--0001995
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: