Individual
DR. RODERICK K MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5121 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-8580
(423) 238-5751
(423) 238-6388
Mailing address
5121 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-8580
(423) 238-5751
(423) 238-6388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017780
BLUE CROSS BLUE SHIELD
TN
Enumeration date
12/12/2006
Last updated
07/08/2007
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