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RAY R RODIG DDS A DENTAL CORPORATION NPI 1396963633


NPI Information

NPI: 1396963633
Provider Name: RAY R RODIG DDS, A DENTAL CORPORATION

Doing Business As: VINTAGE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2937 VENEMAN AVE STE A201
MODESTO, CA
ZIP 95356
Phone: (209) 524-5044
Get Directions

RAY R RODIG DDS, A DENTAL CORPORATION is a general practice dentist in Modesto, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RAY R RODIG DDS, A DENTAL CORPORATION NPI is 1396963633. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vintage Dental.

The provider's business location address is:

2937 VENEMAN AVE STE A201
MODESTO, CA
ZIP 95356-681
Phone: (209) 524-5044
Fax: (209) 524-5064

The provider's authorized official is Ray Richard Rodig .
The authorized official title is Owner President and has the following contact phone number (209) 524-5044.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice31851CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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