Gordon K. Roediger, D.D.S., P.C. in Tucson - Dentist
Gordon K. Roediger, D.D.S., P.C. - NPI 1649455379
Gordon K. Roediger, D.D.S., P.C. is a Dentist in Tucson, Arizona. Gordon K. Roediger, D.D.S., P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gordon K. Roediger, D.D.S., P.C. is 1649455379. The last update date is 2007-12-31.
Gordon K. Roediger, D.D.S., P.C.'s current location address is 6127 N La Cholla Blvd Ste 175, Tucson, Arizona. You can contact this provider via phone number 5205756216 and fax number 5205756219. The mailing address for Gordon K. Roediger, D.D.S., P.C. is 6127 N La Cholla Blvd Ste 175, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gordon K. Roediger, D.D.S., P.C. |
|---|---|
| Address | 6127 N La Cholla Blvd Ste 175, Tucson, Arizona |
| Phone Number | 5205756216 |
| Fax Number | 5205756219 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Roediger Kent Gordon |
| Credentials | D.D.S. |
| Telephone Number | 5205756216 |
NPI Number Detail
| NPI Number | 1649455379 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2007-12-31 |
Provider Mailing Address Detail
| Address | 6127 N La Cholla Blvd Ste 175 |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857413747 |
| Phone Number | 5205756216 |
| Fax Number | 5205756219 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2385 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1093925232 | AZ | NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Gordon K. Roediger, D.D.S., P.C. by the Centers for Medicare & Medicaid Services?
The Gordon K. Roediger, D.D.S., P.C. has been issued the NPI (National Provider Identifier) 1649455379. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gordon K. Roediger, D.D.S., P.C. is physically located?
The Gordon K. Roediger, D.D.S., P.C. is situated at the following address: 6127 N La Cholla Blvd Ste 175, Tucson, AZ 857413747.
What is the Gordon K. Roediger, D.D.S., P.C.'s specialty and taxonomy code?
The Gordon K. Roediger, D.D.S., P.C.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Gordon K. Roediger, D.D.S., P.C.'s 1649455379 issued?
The Gordon K. Roediger, D.D.S., P.C.'s 1649455379 was issued on 2007-12-31.
When was the information related to Gordon K. Roediger, D.D.S., P.C. most recently updated or refreshed?
The details pertaining to the Gordon K. Roediger, D.D.S., P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-31.
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