MEDICARE: DR. BRETT RHODES 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
1	122300000X	Dentist	0401415545	VA

General Provider Information

NPI Number	:	1467986281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT RHODES D.D.S.

Provider Business Mailing Address
First Line	:	700 19TH ST S
Second Line	:	ATTN: DENTAL
City	:	BIRMINGHAM
State	:	AL
Zip	:	35233-1927
Country	:	US
Telephone Number	:	205-933-8101
Fax Number	:	205-212-3913

Provider Business Practice Location Address
First Line	:	6108 PETERS CREEK RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-4028
Country	:	US
Telephone Number	:	540-366-8662
Fax Number	:	540-366-8405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2017
Last Update Date	:	01/23/2026

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