Provider Demographics
NPI:1801809512
Name:FLOYD, RODNEY A (DDS)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:A
Last Name:FLOYD
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 1:1017 GENERALS HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032
Mailing Address - Country:US
Mailing Address - Phone:410-923-2586
Mailing Address - Fax:410-729-0545
Practice Address - Street 1:1017 GENERALS HIGHWAY
Practice Address - Street 2:
Practice Address - City:CROWNSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21032
Practice Address - Country:US
Practice Address - Phone:410-923-2586
Practice Address - Fax:410-729-0545
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD53341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice