Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGEL EMMANUEL RODRIGUEZ PENA, DDS, MSD
Active Sole ProprietorDR. ANGEL EMMANUEL RODRIGUEZ PENA, DDS, MSD is a Periodontology healthcare provider located in TYLER, Texas. NPI 1639650245 is currently active in the NPPES registry. Verify at CMS.
Periodontology · TYLER, TX
Registration Details
- NPI Number
- 1639650245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2018 (7.936797242439 yrs)
- Last Updated
- Feb 23, 2022
- Licenses
-
34440 (TX)104508 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8938 S BROADWAY AVE STE 480TYLER, TX, 757035733Browse TX providers · Browse ZIP 75703
- Phone
- 9188018124
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN E. ADCOCK | D.D.S., M.S. | 1922005503 |
| DR. KAYLEIGH EAVES TEMPLE | DDS | 1396009148 |
| DOUGLAS WITTE | DDS MS | 1922400290 |
| DR. ALEXANDRA RICKER KENNEDY | DDS, MS | 1891347951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.