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

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

## Provider details

- **NPI number:** 1538590864
- **Authorized official:** DR. RALPH DAVID RODEN JR. DMD, MD (PRESIDENT)
- **Authorized official phone:** (205) 870-5834

## Contact information

- **Practice address:** 1771 INDEPENDENCE CT, SUITE 2, VESTAVIA, AL 35216-1258
- **Practice address phone:** (205) 870-5834
- **Practice address fax:** (205) 870-1618
- **Mailing address:** 1771 INDEPENDENCE CT, SUITE 2, VESTAVIA, AL 35216-1258
- **Mailing address phone:** (205) 870-5834
- **Mailing address fax:** (205) 870-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5228 | AL | Yes |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 12/12/2013