Thomas L. Roderick, DDS

General Practice Dentistry · Brawley, CA

Individual Active NPI

NPI number 1386752574

Practice location

1166 K St
Brawley, CA 92227-2737
Phone
(760) 344-3583
Fax
(760) 344-8480

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NPI record

NPI
1386752574
Entity type
Individual (Type 1)
Enumeration date
August 28, 2006
Last updated
March 23, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 33655 CA

Mailing address

2333 Camino Del Rio S
San Diego, CA 92108-3607
Phone
(619) 574-1810
Fax
(619) 574-1326

About Dr. Roderick

Thomas L. Roderick, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1166 K St, Brawley, CA 92227-2737. The NPI number 1386752574 was assigned on August 28, 2006 and the record was last updated on March 23, 2016.

Dr. Roderick lists a license in the registry: #33655 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas L. Roderick, DDS?

The NPI number is 1386752574.

What is the phone number of Dr. Roderick?

The phone number listed for the practice location is (760) 344-3583.

Where is Dr. Roderick located?

1166 K St, Brawley, CA 92227-2737.

What is the taxonomy code for Dr. Roderick?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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