Provider Demographics
NPI:1811968183
Name:SWORD, RHODA JOYNER (DMD)
Entity type:Individual
Prefix:DR
First Name:RHODA
Middle Name:JOYNER
Last Name:SWORD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:RHODA
Other - Middle Name:BIRD
Other - Last Name:JOYNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1430 JOHN WESLEY GILBERT DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0001
Mailing Address - Country:US
Mailing Address - Phone:706-721-2696
Mailing Address - Fax:
Practice Address - Street 1:1430 JOHN WESLEY GILBERT DRIVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-3087
Practice Address - Country:US
Practice Address - Phone:706-721-2696
Practice Address - Fax:706-721-6778
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0127871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA540626814AMedicaid