MEDICARE: RODNEY J ZELENKA,DDS,PC

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	1223G0001X	General Practice Dentistry	00611	CO

General Provider Information

NPI Number	:	1558563361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODNEY J ZELENKA,DDS,PC

Provider Business Mailing Address
First Line	:	4545 E 9TH AVE STE 130
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE STE 130
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3902
Country	:	US
Telephone Number	:	303-377-4823
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RODNEY J ZELENKA
Credential	:	DDS
Telephone Number	:	303-377-4823

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	08/22/2020

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