Provider Demographics
NPI:1487643607
Name:CHEW, RODNEY C (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:C
Last Name:CHEW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 JACKSON ST.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4849
Mailing Address - Country:US
Mailing Address - Phone:415-982-6838
Mailing Address - Fax:415-982-6840
Practice Address - Street 1:818 JACKSON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4849
Practice Address - Country:US
Practice Address - Phone:415-982-6838
Practice Address - Fax:415-982-6840
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice