MAX RODEFFER (NPI# 1053427534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053427534 |
| Entity Type | Individual |
| Full Name | MAX RODEFFER |
| Credential | DMD |
| Practice Address |
911 Broadway St Hamilton IL 62341-1436 |
| Practice Telephone | 2178473900 |
| Practice Fax Number | 2178476684 |
| Mailing Telephone | 2178473900 |
| Mailing Fax Number | 2178476684 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
911 BROADWAY ST |
| City | HAMILTON |
| State | IL |
| Zip Code | 62341-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164875308 | Zachary Alan Rodeffer | Dentist | 911 Broadway St, Hamilton, IL 62341-1436 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336192954 | Richard Paul Sowlles | Podiatrist | 991 Broadway, Hamilton, IL 62341 | 2006-05-17 |
| 1710224522 | Patricia A Castrodale | Pharmacist | 1075 Broadway, Hamilton, IL 62341 | 2013-01-14 |
| 1457334591 | Edward F Mckenney | Family Medicine | 1471 Keokuk St, Hamilton, IL 62341-1135 | 2005-11-22 |
| 1225330087 | Edward F Mckenney D O S C | Family Medicine | 1471 Keokuk St, Hamilton, IL 62341-1135 | 2010-11-30 |
| 1295856979 | Ssc Hamilton Operating Company LLC | Skilled Nursing Facility | 1599 Keokuk St, Hamilton, IL 62341-1137 | 2007-04-02 |
| 1427655240 | Gaps Health Il, S.c. | Internal Medicine | 1599 Keokuk St, Hamilton, IL 62341-1137 | 2020-10-05 |
| 1346899358 | Rachael Ann Woodside | Physical Therapy Assistant | 1599 Keokuk St, Hamilton, IL 62341-1137 | 2019-09-11 |
| 1689222176 | Mary Angela Glasgow | Occupational Therapy Assistant | 1599 Keokuk St, Hamilton, IL 62341-1137 | 2019-08-28 |
| 1285281097 | Mary Lou Sadler | Occupational Therapy Assistant | 1599 Keokuk St, Hamilton, IL 62341-1137 | 2019-08-26 |
| 1427616770 | Chevie Wiseman | Occupational Therapist | 1599 Keokuk St, Hamilton, IL 62341-1137 | 2019-06-02 |
| Find all providers in zip 62341 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500806 | Grace Eichler | Dentist | 3012 Anchor Dr, Hamilton, OH 45011-5036 | 2020-05-22 |
| 1598311755 | Omar Mohamed | Dentist | 1245 Whitehorse Mercerville Rd # A-417, Hamilton, NJ 08619-3831 | 2019-08-14 |
| 1487180337 | Daniel Schmidt | Dentist | 6518 Winford Ave, Hamilton, OH 45011-0547 | 2017-05-11 |
| 1356758015 | Hamilton Riverside Dentistry LLC | Dentist | 112 N. Second St, Hamilton, OH 45011 | 2014-07-15 |
| 1134552383 | Nishir Kumar | Dentist | 3397 Princeton Rd, Bridgewater Falls, Hamilton, OH 45011-5563 | 2013-08-12 |
| 1669792529 | Seema Damania | Dentist | 4107 Hamilton Middletown Rd., Hamilton, OH 45011 | 2010-06-02 |
| 1831370147 | Dr. Dale E. Bolt Dentistry | Dentist | 1760 Military Hwy So., Hamilton, AL 35570-0820 | 2007-11-15 |
| 1437357845 | Patrick Pagana | Dentist | 999 Hughes Dr, Apt 15, Hamilton, NJ 08690-1219 | 2007-07-06 |
| 1528265303 | Steven Alan Arrington | Dentist | 222 Chambless Ln, Hamilton, GA 31811-6144 | 2007-06-27 |
| 1407075674 | Robert L Ward | Dentist | 1805 Grand Blvd, Hamilton, OH 45011-4547 | 2007-04-25 |
| Find all providers in HAMILTON | ||||
Please comment or provide details below to improve the information on MAX RODEFFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.