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NPI Code Detail

MEDICARE: SEBASTIAN RODRIGUEZ DMD

MEDICARE:   SEBASTIAN  RODRIGUEZ  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist11149SC

General Provider Information

NPI Number : 1053268870
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEBASTIAN RODRIGUEZ DMD
Provider Business Mailing Address
First Line : 201 OLD BOILING SPRINGS RD
Second Line :
City : GREER
State : SC
Zip : 29650-4227
Country : US
Telephone Number : 864-561-7545
Fax Number :
Provider Business Practice Location Address
First Line : 1860 OLD FURNACE RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-8591
Country : US
Telephone Number : 864-592-1647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ SEBASTIAN RODRIGUEZ DMD” Practice Location

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