R.David Roden, Jr.,DMD, MD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5228 Issued in AL

Legal business name

R.DAVID RODEN, JR.,DMD, MD, PC

Practice address

1771 Independence CT
Suite 2
Vestavia, AL 35216-1258

Phone

(205) 870-5834

Fax

(205) 870-1618

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ralph David Roden Jr., DMD, MD

Title

Owner

Phone

(205) 870-5834

Specialties & licenses 1

Addresses

Tax ID family

Rdavid Roden Jrdmd MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• R.David Roden, Jr.,DMD,MD,PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Vestavia, AL
  • NPI 1538590864
  NPD tax ID

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1861827115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT",
            "address_2": "SUITE 2",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161258",
            "telephone_number": "205-870-5834",
            "fax_number": "205-870-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT",
            "address_2": "SUITE 2",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161258",
            "telephone_number": "205-870-5834",
            "fax_number": "205-870-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.DAVID RODEN, JR.,DMD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-870-5834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Robin Pruitt Jr., D.M.D.
• Publix Alabama LLC
• Purvis Dentistry, PC
• Flynt Gilbert Purvis, D.M.D.
• Puzzle Piece LLC
• R.David Roden, Jr.,DMD,MD,PC
• Ruby Brianna Ramirez-Barnett
• Elaine G. Rasco, LPC-S
• Keri Ratcliff
• Susan Reneau Rathmell, PH.D.

• Dental Clinic/Center in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.