Bryant Rodriguez

Dentist · Berwyn, IL

Individual Active NPI

NPI number 1629811096

Practice location

7106 Cermak Rd
Berwyn, IL 60402
Phone
(708) 540-1000

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NPI record

NPI
1629811096
Entity type
Individual (Type 1)
Enumeration date
June 14, 2024
Last updated
June 14, 2024
Certified
May 15, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.035086 IL

Mailing address

24 N Parkside Ave Apt 2d
Glen Ellyn, IL 60137-5759
Phone
(954) 235-7562

About Bryant Rodriguez

Bryant Rodriguez is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7106 Cermak Rd, Berwyn, IL 60402. The NPI number 1629811096 was assigned on June 14, 2024 and the record was last updated on June 14, 2024.

Bryant Rodriguez lists a license in the registry: #019.035086 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryant Rodriguez?

The NPI number is 1629811096.

What is the phone number of Bryant Rodriguez?

The phone number listed for the practice location is (708) 540-1000.

Where is Bryant Rodriguez located?

7106 Cermak Rd, Berwyn, IL 60402.

What is the taxonomy code for Bryant Rodriguez?

The primary taxonomy code is 122300000X – Dentist.

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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