CHRISTOPHER J RODEBAUGH DDS INC NPI 1043658503

NPI Information

  • NPI: 1043658503
  • Provider Name: CHRISTOPHER J RODEBAUGH, DDS INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 120 MAPLEWOOD AVE
    RONCEVERTE, WV
    ZIP 24970
  • Phone: (304) 645-3110

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NPI Details

CHRISTOPHER J RODEBAUGH, DDS INC is a general practice dentist in Ronceverte, WV. 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. CHRISTOPHER J RODEBAUGH, DDS INC NPI is 1043658503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 MAPLEWOOD AVE
RONCEVERTE, WV
ZIP 24970-736
Phone: (304) 645-3110
Fax: (304) 645-3209

The provider's authorized official is Christopher J Rodebaugh .
The authorized official title is Dentist and has the following contact phone number (304) 645-3110.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 6/6/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3820WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138100178725MEDICAIDWEST VIRGINIA

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: 3/30/2025

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