Provider Demographics
NPI:1750062931
Name:RODIGHIERODENTAL LLC
Entity type:Organization
Organization Name:RODIGHIERODENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:TOPP
Authorized Official - Last Name:RODIGHIERO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-262-0968
Mailing Address - Street 1:1019 JEFFERSONVILLE COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-8395
Mailing Address - Country:US
Mailing Address - Phone:812-725-9022
Mailing Address - Fax:
Practice Address - Street 1:1019 JEFFERSONVILLE COMMONS DR
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8395
Practice Address - Country:US
Practice Address - Phone:812-725-9022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental