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General NPI Number Information
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NPI Number | 1467986281
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Entity Type | Individual
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Provider Name | BRETT RHODES D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 6108 PETERS CREEK RD
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City | ROANOKE
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State | VA
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Zip | 24019-4028
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Country | US
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Telephone | 540-366-8662
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Fax | 540-366-8405
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Provider Business Mailing Address
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Address Line | 700 19TH ST S ATTN: DENTAL
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1927
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Country | US
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Telephone | 205-933-8101
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Fax | 205-212-3913
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401415545
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License Number State | VA
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