Dale F Rodriquez DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017363 Issued in IL

Legal business name

DALE F RODRIQUEZ DDS

Practice address

10661 S Roberts Rd
Suite 206
Palos Hills, IL 60465-1954

Phone

(708) 974-3315

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dale Rodriquez

Title

President

Phone

(708) 974-3315

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1184722977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 S ROBERTS RD",
            "address_2": "SUITE 206",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651954",
            "telephone_number": "708-974-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 S ROBERTS RD",
            "address_2": "SUITE 206",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651954",
            "telephone_number": "708-974-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE F RODRIQUEZ DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-974-3315",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Croteau-Chonka
• Yolanda A Cruz, LPC
• Shawandea Curry
• Bailey Curtis, LSW
• Cuttings Edge Medical Transit, Inc.
• Daniel J. Hirsen, M.D.,LLC
• Tiffany Daniels
• Alwin David, MD
• Jewel Dawn Davies, LCPC
• Geoffrey S Davis, ATC

• General Practice Dentistry in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.