Healthcare Provider Details

I. General information

NPI: 1699115048
Provider Name (Legal Business Name): HILMA KAREN RODRIGUEZ D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2013
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 E MILL RD STE 101
VINEYARD UT
84059-5732
US

IV. Provider business mailing address

707 E MILL RD STE 101
VINEYARD UT
84059-5732
US

V. Phone/Fax

Practice location:
  • Phone: 415-225-0696
  • Fax: 385-283-0660
Mailing address:
  • Phone: 415-225-0696
  • Fax: 385-283-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number12645165
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12645165
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: