MR. CARL RICHIE RODEGERDTS DDS - NPI 1851592968

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Mr. Carl Richie Rodegerdts Dds NPPES

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

MR. CARL RICHIE RODEGERDTS DDS (NPI 1851592968) is an individual general practice provider in Woodland, California, licensed in California (17374) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1851592968

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. CARL RICHIE RODEGERDTSCredential: DDS

Location Address1111 COTTONWOOD STWoodland, CA 95695

Mailing Address1111 Cottonwood StWoodland, CA 95695 · (530) 662-0242 · Fax (530) 662-2464

Phone(530) 662-0242

Fax(530) 662-2464

Sole ProprietorNo

Enumeration DateMay 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851592968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 17374

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.

1111 COTTONWOOD ST, Woodland, CA 95695

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Frequently Asked Questions

What is Carl Rodegerdts's NPI number?

The NPI number assigned to this healthcare provider is 1851592968, enumerated as an "individual" on May 29, 2007.

Where is the provider located?

The provider is located at 1111 COTTONWOOD ST WOODLAND, CA 95695 and the phone number is (530) 662-0242.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.