Individual
JEFFERY KYLE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
952 SETON DR, SUITE 104, CUMBERLAND, MD 21502-1950
(301) 759-4900
(301) 759-4405
Mailing address
952 SETON DR, SUITE 104, CUMBERLAND, MD 21502-1950
(301) 759-4900
(301) 759-4405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10083
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DJ46
BLUE CROSS BLUE SHIELD MD
MD
Enumeration date
10/23/2006
Last updated
07/08/2007
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