Provider Demographics
NPI:1598979379
Name:RODNEY G. SIGUA, DDS, FAGD, PLLC
Entity Type:Organization
Organization Name:RODNEY G. SIGUA, DDS, FAGD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SIGUA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-223-6644
Mailing Address - Street 1:25 HALL ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3471
Mailing Address - Country:US
Mailing Address - Phone:603-223-6644
Mailing Address - Fax:603-224-1712
Practice Address - Street 1:25 HALL ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3471
Practice Address - Country:US
Practice Address - Phone:603-223-6644
Practice Address - Fax:603-224-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2606122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008269Medicaid