# CARLOS RODRIGUEZ DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1265720379
- **Authorized official:** DR. CARLOS S RODRIGUEZ DDS (DENTIST)
- **Authorized official phone:** (731) 885-0355

## Contact information

- **Practice address:** 1301 MEDICAL PARK CIR, UNION CITY, TN 38261-5877
- **Practice address phone:** (731) 885-0355
- **Practice address fax:** (731) 885-8224
- **Mailing address:** 1301 MEDICAL PARK CIR, UNION CITY, TN 38261-5877
- **Mailing address phone:** (731) 885-0355
- **Mailing address fax:** (731) 885-8224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7217 | TN | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 07/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1516146 | — | TN |