Individual
DR. AUSTIN RODENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
6400 WESTWIND WAY STE C, CRESTWOOD, KY 40014-6773
(502) 754-6633
(859) 207-5102
Mailing address
934 WOODLAND RIDGE CIR, LA GRANGE, KY 40031-1373
(270) 572-9309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10612
KY
1223P0221X
Pediatric Dentistry
Primary
10612
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
05/19/2021
Last updated
05/23/2023
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