Rodriguez Dental Services Georgetown PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RODRIGUEZ DENTAL SERVICES GEORGETOWN PLLC

Practice address

904 W University Ave Ste 101
Georgetown, TX 78626-6512

Phone

(512) 876-2060

Fax

(512) 591-7075

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Barber

Title

Provider Enrollment Manager

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1790681559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-454-6000",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W UNIVERSITY AVE STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266512",
            "telephone_number": "512-876-2060",
            "fax_number": "512-591-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ DENTAL SERVICES GEORGETOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockdale Blackhawk LLC (Little River Healthcare Georgetown Orthopedics)
• Rockdale Blackhawk LLC (Richards Memorial Hospital)
• Rockdale Blackhawk LLC (Little River Healthcare Georgetown Imaging)
• Rocky Hollow Cabins, LLC (Rocky Hollow Lake House)
• Tiara Joy Rodgers, CPM
• Rodriguez Dental Services PLLC
• Michelle Evette Rodriguez, LMFT
• Teresa Rodriguez, OTR
• Jermaine Caballes Pinzon Rogalski
• Roger Taylor Management (Chiropractic Center of Georgetown)

• General Practice Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.