Provider Demographics
NPI:1922162437
Name:RHONDA F COMPANY DDS INC
Entity Type:Organization
Organization Name:RHONDA F COMPANY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:COMPANY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-455-0706
Mailing Address - Street 1:1470 E VALENTINE CIR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-3100
Mailing Address - Country:US
Mailing Address - Phone:330-455-0706
Mailing Address - Fax:330-455-1422
Practice Address - Street 1:1470 E VALENTINE CIR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-3100
Practice Address - Country:US
Practice Address - Phone:330-455-0706
Practice Address - Fax:330-455-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300164061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0434391Medicaid