Provider Demographics
NPI:1760663165
Name:RODNEY J GOLD DDS PC
Entity Type:Organization
Organization Name:RODNEY J GOLD DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-790-9100
Mailing Address - Street 1:899 N WILMOT RD
Mailing Address - Street 2:SUITEA2
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1714
Mailing Address - Country:US
Mailing Address - Phone:520-790-9100
Mailing Address - Fax:520-790-0809
Practice Address - Street 1:899 N WILMOT RD
Practice Address - Street 2:SUITEA2
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1714
Practice Address - Country:US
Practice Address - Phone:520-790-9100
Practice Address - Fax:520-790-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty