Individual
JONATHAN RODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11900 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
(502) 977-8565
Mailing address
11900 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
(859) 608-3396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9515
KY
1223G0001X
General Practice Dentistry
Primary
9515
KY
Other
Enumeration date
06/29/2012
Last updated
10/11/2023
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