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NPI Code Detail

MEDICARE: DR. GEORGE RODRIGUES JR. D.D.S.

MEDICARE:  DR. GEORGE  RODRIGUES JR. 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
11223G0001XGeneral Practice Dentistry14496MA

General Provider Information

NPI Number : 1699717207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE RODRIGUES JR. D.D.S.
Provider Business Mailing Address
First Line : 1395 PLEASANT ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-1718
Country : US
Telephone Number : 508-672-8984
Fax Number : 508-672-4239
Provider Business Practice Location Address
First Line : 1395 PLEASANT ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-1718
Country : US
Telephone Number : 508-672-8984
Fax Number : 508-672-4239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GEORGE RODRIGUES JR. D.D.S.” Practice Location

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