Individual
DR. JESSICA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 874-4060
Mailing address
199 W BROADWAY APT 201, PATERSON, NJ 07522-1583
(209) 373-9512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11343
SC
1223G0001X
General Practice Dentistry
Primary
22DI03098900
NJ
Other
Enumeration date
06/13/2025
Last updated
02/24/2026
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