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RIO GRANDE CITY DENTAL PLLC NPI 1316383482


NPI Information

NPI: 1316383482
Provider Name: RIO GRANDE CITY DENTAL PLLC

Doing Business As: RODEO DENTAL AND ORTHODONTICS

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
4024 E. US HIGHWAY 83
SUITE 100
RIO GRANDE CITY, TX
ZIP 78582
Phone: (817) 529-8151
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RIO GRANDE CITY DENTAL PLLC is a dentist in Rio Grande City, TX. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. RIO GRANDE CITY DENTAL PLLC NPI is 1316383482. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rodeo Dental And Orthodontics.

The provider's business location address is:

4024 E. US HIGHWAY 83
SUITE 100
RIO GRANDE CITY, TX
ZIP 78582
Phone: (817) 529-8151
Fax: (817) 928-1681

The provider's authorized official is William Hailey Dunklin .
The authorized official title is Owner and has the following contact phone number (817) 529-8151.

The enumeration date for this NPI number is 5/16/2013 and was last updated on 10/26/2022.


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
1122300000XDentistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1168217115MEDICAIDTEXAS
2168217117MEDICAIDTEXAS
3168217118MEDICAIDTEXAS
4168217112MEDICAIDTEXAS
5168217116MEDICAIDTEXAS
6168217113MEDICAIDTEXAS
7168217114MEDICAIDTEXAS

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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