MR. CHRISTOPHER JUSTIN RODEBAUGH (NPI# 1962652495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962652495 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER JUSTIN RODEBAUGH |
| Credential | DDS |
| Practice Address |
1498 Maplewood Ave. Ronceverte WV 24970 |
| Practice Telephone | 3046453110 |
| Practice Fax Number | 3046453209 |
| Mailing Telephone | 3043660088 |
| Mailing Fax Number | 3043661223 |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3820 | WV | Dental Providers |
| Street Address |
1498 MAPLEWOOD AVE. |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| 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 |
|---|---|---|---|---|
| 1730326307 | James Dennis Lassiter | Dentist | Rr 2 Box 246c, Ronceverte, WV 24970-9521 | 2009-01-19 |
| 1588753859 | H Richard Marshall Jr Dds Inc | Dentist | 120 Maplewood Ave, Ronceverte, WV 24970 | 2006-10-12 |
| 1891034138 | Richard Marshall Jr. | Dentist | 120 Maplewood Ave, Ronceverte, WV 24970-9736 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788078 | Miranda Jordan Kimble | Dentist | 422 Kinetic Dr Ste A, Huntington, WV 25701-5268 | 2020-07-30 |
| 1790303931 | Brennan Bish | Dentist | 451 Kinetic Dr, Huntington, WV 25701-5270 | 2020-07-13 |
| 1225672843 | Adam M. Grubler Dds, Pllc | Dentist | 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 | 2019-11-06 |
| 1073154845 | Sound Sleep Treatments of The Virginias LLC | Dentist | 33 Eagles Rd, Beckley, WV 25801-3643 | 2019-10-03 |
| 1275183998 | Kenan Hatem Hossino | Dentist | 415 Morris St Ste 101, Charleston, WV 25301-1840 | 2019-09-14 |
| 1366094831 | Pooja Chugh | Dentist | 409 Arabela Ct, Morgantown, WV 26508-4266 | 2019-07-15 |
| 1407418072 | Doheum Choi | Dentist | 942 Chestnut Ridge Rd Apt H, Morgantown, WV 26505-3085 | 2019-07-03 |
| 1629635164 | Breana Marie Dieringer | Dentist | 3126 George Washington Hwy, Thornton, WV 26440-7231 | 2019-05-21 |
| 1982190435 | Brian K Farley | Dentist | 1628 W 3rd Ave, Williamson, WV 25661-3007 | 2018-07-09 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on MR. CHRISTOPHER JUSTIN RODEBAUGH.
| 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.