Provider Demographics
NPI:1790801330
Name:ALLES, RODNEY NEAL JR (DDS)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:NEAL
Last Name:ALLES
Suffix:JR
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 1:3428 HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7643
Mailing Address - Country:US
Mailing Address - Phone:214-727-8171
Mailing Address - Fax:
Practice Address - Street 1:2616 LONG PRAIRIE RD STE 105
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4982
Practice Address - Country:US
Practice Address - Phone:972-899-3499
Practice Address - Fax:972-899-3498
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0112291223G0001X
CODEN.002050001223G0001X
TX222901223G0001X
TN114951223G0001X
WADE611350951223G0001X
GADN1222751223G0001X
NC123451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice