Provider Demographics
NPI:1972706224
Name:KLEIGER, RODNEY HEATH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:HEATH
Last Name:KLEIGER
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 1:959 EAST WALNUT ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-5360
Mailing Address - Country:US
Mailing Address - Phone:626-793-6175
Mailing Address - Fax:626-793-9317
Practice Address - Street 1:959 EAST WALNUT ST
Practice Address - Street 2:SUITE 216
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-5360
Practice Address - Country:US
Practice Address - Phone:626-793-6175
Practice Address - Fax:626-793-9317
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA479221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABK7196048OtherDNA