DR. RUSSELL W RODERICK D.M.D
NPI 1912013020
Dentist - General Practice in Phoenix, AZ

Q: What is Russell Roderick's NPI number?

The NPI number for Russell Roderick is 1912013020. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Russell Roderick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Russell Roderick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 22, 2006

26232 N TATUM BLVD, SUITE 400, PHOENIX, AZ 85050(480) 515-0404(480) 515-2587 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Russell W Roderick D.m.d NPPES

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

DR. RUSSELL W RODERICK D.M.D (NPI 1912013020) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (4906) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912013020

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RUSSELL W RODERICKCredential: D.M.D

Location Address26232 N TATUM BLVD, SUITE 400Phoenix, AZ 85050-7501

Mailing Address26232 N Tatum Blvd, Suite 400Phoenix, AZ 85050-7501 · (480) 515-0404 · Fax (480) 515-2587

Phone(480) 515-0404

Fax(480) 515-2587

Sole ProprietorNo

Enumeration DateAugust 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912013020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · 4906

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.

26232 N TATUM BLVD, Phoenix, AZ 85050

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT SCOTT HAKES D.D.S.

Dentist (General Practice)

26232 N TATUM BLVD, SUITE 100
PHOENIX, AZ 85050

Maricopa County (480) 538-8040

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 Russell Roderick's NPI number?

The NPI number for Russell Roderick is 1912013020. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Russell Roderick located?

Russell Roderick practices at 26232 N Tatum Blvd Suite 400, Phoenix, AZ 85050. The listed phone number is (480) 515-0404.

What is Russell Roderick's specialty?

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

When was this NPI record last updated?

The NPPES record for Russell Roderick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.