Individual
DR. JOSEPH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5004 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(843) 380-9080
(843) 380-9081
Mailing address
5004 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(843) 380-9080
(843) 380-9081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD11379
SC
1223G0001X
General Practice Dentistry
DN22083
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DGD11381
SC
Other
Enumeration date
07/12/2016
Last updated
05/29/2026
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