Provider Demographics
NPI:1245363167
Name:RHODEN, DAVID H III (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:RHODEN
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2098 N VALLEY MILLS DR
Mailing Address - Street 2:STE. B
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2586
Mailing Address - Country:US
Mailing Address - Phone:254-399-0390
Mailing Address - Fax:254-399-9854
Practice Address - Street 1:2098 N VALLEY MILLS DR
Practice Address - Street 2:STE. B
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2586
Practice Address - Country:US
Practice Address - Phone:254-399-0390
Practice Address - Fax:254-399-9854
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9741122300000X
AK1128122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist