Healthcare Provider Details
I. General information
NPI: 1811968183
Provider Name (Legal Business Name): RHODA JOYNER SWORD DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2006
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 W WISCONSIN AVE
MILWAUKEE WI
53233-2186
US
IV. Provider business mailing address
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA GA
30912-0001
US
V. Phone/Fax
- Phone: 414-288-0788
- Fax:
- Phone: 706-721-2696
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 6002190-15 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DN012787 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: