Individual provider · Type 1 NPI
Angel Emmanuel Rodriguez Pena, DDS, MSD
Periodontics · Tyler, TX
NPI number
1639650245
Active
Practice location
8938 S Broadway Ave Ste 480
Tyler, TX 75703-5733
Mailing address
11950 Erwin St Apt 337
North Hollywood, CA 91606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 34440 (TX) |
| Periodontics Primary | 1223P0300X | 104508 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Tyler
About NPI 1639650245
Angel Emmanuel Rodriguez Pena, DDS, MSD's National Provider Identifier is 1639650245, issued on Aug 22, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tyler, TX. The record was last updated on Feb 23, 2022.