Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MARIUS RODRIGUEZ, D.D.S
Active Sole ProprietorDR. JONATHAN MARIUS RODRIGUEZ, D.D.S is a Dentist healthcare provider located in EAST RIDGE, Tennessee. NPI 1710361498 is currently active in the NPPES registry. Verify at CMS.
Dentist · EAST RIDGE, TN
Registration Details
- NPI Number
- 1710361498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2015 (11.07892716903 yrs)
- Last Updated
- Mar 10, 2023
- Licenses
-
64680 (CA)12084 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3824 RINGGOLD RDEAST RIDGE, TN, 374121640Browse TN providers · Browse ZIP 37412
- Phone
- 4236296015
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in EAST RIDGE, TN
| Name | Credential | NPI |
|---|---|---|
| DANIEL MCGOVERN | DMD | 1952806507 |
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.