# EDWARD F ROD JR, DDS, INC.

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

## Provider details

- **NPI number:** 1366511339
- **Authorized official:** DR. EDWARD FRANK ROD JR. DDS (PRESIDENT)
- **Authorized official phone:** (409) 832-2532

## Contact information

- **Practice address:** 2929 CALDER ST, \#302, BEAUMONT, TX 77702-1845
- **Practice address phone:** (409) 832-2532
- **Mailing address:** 2929 CALDER ST, \#302, BEAUMONT, TX 77702-1845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12382 | TX | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | 12382 | TX | — |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 02/13/2008