Provider Demographics
NPI:1508028671
Name:DRS RHODES RINALDI & ASSOC INC
Entity Type:Organization
Organization Name:DRS RHODES RINALDI & ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-920-8060
Mailing Address - Street 1:63 GRAHAM RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1204
Mailing Address - Country:US
Mailing Address - Phone:330-920-8060
Mailing Address - Fax:
Practice Address - Street 1:63 GRAHAM RD STE 3
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1204
Practice Address - Country:US
Practice Address - Phone:330-920-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0433098Medicaid