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RODEO DENTAL
NPI 1396029781
Dentist - General Practice in Pharr, TX

Active since October 04, 2011
1300 SOUTH CAGE BLVD., STE. K, PHARR, TX 78577(817) 624-6677 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rodeo Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODEO DENTAL (NPI 1396029781) is a healthcare organization registered as a general practice in Pharr, Texas and active in the NPI registry since October 2011. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1396029781
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRODEO DENTAL PHARR PLLC
Location Address1300 SOUTH CAGE BLVD., STE. KPharr, TX 78577
Mailing Address1300 South Cage Blvd., Ste. KPharr, TX 78577 · (817) 624-6677
Phone(817) 624-6677
Organization SubpartNo
Authorized OfficialRaffy KouyoumdjianOwner · (818) 653-9799
Enumeration DateOctober 4, 2011
✔ NPI 1396029781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 24133
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 23066 (TX)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 21527 (TX)
1300 SOUTH CAGE BLVD., Pharr, TX 78577
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Other Names 1

Doing Business AsRodeo Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodeo Dental Pharr PLLC's NPI number?

The NPI number for Rodeo Dental Pharr PLLC is 1396029781. It was assigned to this organization in the NPPES registry on October 4, 2011. The provider is doing business as Rodeo Dental.

Where is Rodeo Dental Pharr PLLC located?

Rodeo Dental Pharr PLLC is located at 1300 South Cage Blvd. Ste. K, Pharr, TX 78577. The listed phone number is (817) 624-6677.

What is Rodeo Dental Pharr PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Rodeo Dental Pharr PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Rodeo Dental Pharr PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rodeo Dental Pharr PLLC was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.