# KELBIN RODRIGUEZ D.D.S., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053623223
- **Authorized official:** KELBIN RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (865) 689-7556

## Contact information

- **Practice address:** 512 MERCHANT DR, KNOXVILLE, TN 37912-3851
- **Practice address phone:** (865) 689-7556
- **Practice address fax:** (865) 689-1067
- **Mailing address:** 512 MERCHANT DR, KNOXVILLE, TN 37912-3851
- **Mailing address phone:** (865) 689-7556
- **Mailing address fax:** (865) 689-1067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8820 | TN | Yes |

## Other

- **Enumeration date:** 07/05/2010
- **Last updated:** 07/05/2010