Individual provider · Type 1 NPI

Juan Rodriguez

Periodontics · Oklahoma City, OK

NPI number 1679984587 Active

Practice location

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214

Call (405) 271-2189 Map

Mailing address

301 N Walker Ave
Oklahoma City, OK 73102-1816

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XVP2 (OK)

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.

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About NPI 1679984587

Juan Rodriguez's National Provider Identifier is 1679984587, issued on May 13, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Oklahoma City, OK. The record was last updated on May 13, 2014.