Rodney D Ida DDS APC

Endodontics · Tustin, CA

Organization Active NPI

NPI number 1922210665

Practice location

17542 Irvine Blvd Ste a
Tustin, CA 92780-3155
Phone
(714) 547-8494
Fax
(714) 547-3448

Open in Google Maps

NPI record

NPI
1922210665
Entity type
Organization (Type 2)
Enumeration date
May 4, 2007
Last updated
November 8, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X CA36250 CA
Dentist 122300000X 36250 CA

Mailing address

17542 Irvine Blvd
Suite a
Tustin, CA 92780-3155
Phone
(714) 547-8494
Fax
(714) 547-3448

Authorized official

Name
Dr. Rodney Dean Ida, DDS
Title
President
Phone
(714) 547-8494

About Rodney D Ida DDS APC

Rodney D Ida DDS APC is a healthcare organization registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 17542 Irvine Blvd Ste a, Tustin, CA 92780-3155. The NPI number 1922210665 was assigned on May 4, 2007 and the record was last updated on November 8, 2017.

Rodney D Ida DDS APC lists 2 licenses in the registry: #CA36250 (CA) for Endodontics; #36250 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Rodney Dean Ida, DDS, President.

Frequently asked questions

What is the NPI number of Rodney D Ida DDS APC?

The NPI number is 1922210665.

What is the phone number of Rodney D Ida DDS APC?

The phone number listed for the practice location is (714) 547-8494.

Where is Rodney D Ida DDS APC located?

17542 Irvine Blvd Ste a, Tustin, CA 92780-3155.

What is the taxonomy code for Rodney D Ida DDS APC?

The primary taxonomy code is 1223E0200X – Endodontics; 1 more listed above.

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.

Other Endodontics providers in Tustin

All Endodontics providers in Tustin, CA →