Provider Demographics
NPI:1952380313
Name:SIGUA, RODNEY GEORGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:GEORGE
Last Name:SIGUA
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 1:25 HALL ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-223-6644
Mailing Address - Fax:603-224-1712
Practice Address - Street 1:25 HALL ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-223-6644
Practice Address - Fax:603-224-1712
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH26061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008269Medicaid