Provider Demographics
NPI:1013136050
Name:RHODES, JOHN F (D M D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:RHODES
Suffix:
Gender:M
Credentials:D M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NEAL ST STE A
Mailing Address - Street 2:KEYSTONE PROFESSIONAL BUILDING
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0900
Mailing Address - Country:US
Mailing Address - Phone:931-526-4912
Mailing Address - Fax:
Practice Address - Street 1:1100 NEAL ST STE A
Practice Address - Street 2:KEYSTONE PROFESSIONAL BUILDING
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0900
Practice Address - Country:US
Practice Address - Phone:931-526-4912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice