Provider Demographics
NPI:1114078078
Name:RHODES, BELINDA R (DDS)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:R
Last Name:RHODES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 OLD GREENSBORO RD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-5976
Mailing Address - Country:US
Mailing Address - Phone:205-344-9220
Mailing Address - Fax:205-344-9221
Practice Address - Street 1:6000 OLD GREENSBORO RD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-5976
Practice Address - Country:US
Practice Address - Phone:205-344-9220
Practice Address - Fax:205-344-9221
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLNO55031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630506111Medicaid