DR. ZACHARY ALAN RODEFFER (NPI# 1164875308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164875308 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY ALAN RODEFFER |
| Credential | D.M.D |
| Practice Address |
911 Broadway St Hamilton IL 62341-1436 |
| Practice Telephone | 2178473900 |
| Mailing Telephone | 2178473900 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.030889 | IL | Dental Providers |
| Street Address |
911 BROADWAY ST |
| City | HAMILTON |
| State | IL |
| Zip Code | 62341-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053427534 | Max Rodeffer | Dentist | 911 Broadway St, Hamilton, IL 62341-1436 | 2006-08-21 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613308 | Stephen Blaine Sherwood | Dentist | 710 S 1st St # 1, Hamilton, MT 59840-3014 | 2020-06-10 |
| 1881228302 | Garden State Smiles Hamilton LLC | Dentist | 3100 Quakerbridge Rd Ste 5, Hamilton, NJ 08619-1658 | 2020-02-24 |
| 1154820751 | Gunjan Parmar | Dentist | 731 Route 33 Ste 4, Hamilton, NJ 08619-4418 | 2018-02-08 |
| 1871091488 | Dr Joseph Copas Liberty West Dental Clinic LLC | Dentist | 2201 Nw Washington Blvd Ste C, Hamilton, OH 45013-5835 | 2018-01-29 |
| 1598126989 | Ohio Dental Professionals, Delisle, PC | Dentist | 3012 Anchor Drive, Hamilton, OH 45011 | 2016-03-11 |
| 1881077311 | Daniel Wharton | Dentist | 215 N 10th St Ste D, Hamilton, MT 59840-2328 | 2015-07-01 |
| 1174905103 | Billy Michael Greene | Dentist | 3305 48th St, Hamilton, MI 49419-9685 | 2015-06-25 |
| 1942611595 | Nida Mahmood | Dentist | 217 Evelyn Ave, Hamilton, NJ 08619-2017 | 2014-05-16 |
| 1851654388 | Navleen Kaur Thind | Dentist | 731 Route 33, Hamilton, NJ 08619-4418 | 2012-06-19 |
| 1215212980 | Northwest Health Services, Inc. | Dentist | 500 1/2 S Davis St, Hamilton, MO 64644-1424 | 2011-10-13 |
| Find all providers in HAMILTON | ||||
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| 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.