Healthcare Provider Details

I. General information

NPI: 1740390251
Provider Name (Legal Business Name): ARTHUR MANUEL RODRIGUEZ DMD MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 HIGHLAND DR
PITTSBURGH PA
15206-1206
US

IV. Provider business mailing address

1834 LIBERTY WAY
VALENCIA PA
16059-3912
US

V. Phone/Fax

Practice location:
  • Phone: 412-365-4628
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDS025309L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: