Provider Demographics
NPI:1497835557
Name:RODRIGUEZ, FRANCISCO JOSE (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JOSE
Last Name:RODRIGUEZ
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 1:2803 N LOY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1726
Mailing Address - Country:US
Mailing Address - Phone:903-892-2246
Mailing Address - Fax:903-891-9339
Practice Address - Street 1:2803 N LOY LAKE RD
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1726
Practice Address - Country:US
Practice Address - Phone:903-892-2246
Practice Address - Fax:903-891-9339
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0264911223P0221X
WI6584-151223P0221X
IL0190264911223P0221X
TX295381223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry