MEDICARE: HOUSTON RHODES DDS

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	DN10000787	MA

General Provider Information

NPI Number	:	1528762572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOUSTON RHODES DDS

Provider Business Mailing Address
First Line	:	622 W 168TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3720
Country	:	US
Telephone Number	:	212-305-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 BLUE HILL AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02126-2122
Country	:	US
Telephone Number	:	617-296-0061
Fax Number	:

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

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	01/05/2026

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Directions to “ HOUSTON RHODES DDS” Practice Location

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