Provider Demographics
NPI:1770984551
Name:RHODES, MARCUS (DDS)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:
Last Name:RHODES
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 1:7850 W GRAND PKWY S STE 400
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5884
Mailing Address - Country:US
Mailing Address - Phone:281-769-1080
Mailing Address - Fax:281-769-1090
Practice Address - Street 1:7850 W GRAND PKWY S STE 400
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5884
Practice Address - Country:US
Practice Address - Phone:281-769-1080
Practice Address - Fax:281-769-1090
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60367261122300000X
TX35043122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist