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NPI Code Detail

MEDICARE: JEFFREY L RHOADES D.D.S.

MEDICARE:   JEFFREY L RHOADES  D.D.S.
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
1122300000XDentist12007270IN

General Provider Information

NPI Number : 1346467180
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY L RHOADES D.D.S.
Provider Business Mailing Address
First Line : 530 PLAZA DR
Second Line : SUITE J
City : COLUMBUS
State : IN
Zip : 47201-2938
Country : US
Telephone Number : 812-376-9335
Fax Number : 812-376-9298
Provider Business Practice Location Address
First Line : 530 PLAZA DR
Second Line : SUITE J
City : COLUMBUS
State : IN
Zip : 47201-2938
Country : US
Telephone Number : 812-376-9335
Fax Number : 812-376-9298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 07/08/2007

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Directions to “ JEFFREY L RHOADES D.D.S.” Practice Location

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