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Active NPI 1386752574 Individual Practitioner Male Practitioner

Dr. Thomas L Roderick , DDS

Dentist - General Practice • Brawley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Roderick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brawley, CA. Practice services are available at 1166 K ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1166 K St

Brawley, CA 922272737

Telephone 7603443583
Fax 7603448480
Associated Practice Facility / Clinic
🏢 Communitycare Ipa, Llc Facility NPI 1639508450

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brawley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Brawley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 33655

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003973470

Doctor of Dental Surgery

NPI 1023485125

Doctor of Dental Medicine

Dr. Amadis Lugo-Denton , DDS

Dentist - General Practice

NPI 1386744290

Doctor of Dental Surgery

Dr. Jaime Dominguez , DDS

Dentist - General Practice

NPI 1508837980

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2016

Registered at 1166 K ST, BRAWLEY, CA 922272737 (Tel: 7603443583)

📍
Updated Business Mailing Address March 23, 2016

Registered at 2333 CAMINO DEL RIO S, SAN DIEGO, CA 921083607 (Tel: 6195741810)

👤
Provider Name / Credentials Updated March 23, 2016

Recorded as THOMAS RODERICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2016

Dentist (License #33655 in CA)

🟢
Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386752574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: March 23, 2016
Sole Proprietor: No

Mailing Address

2333 Camino Del Rio S

San Diego, CA 921083607

Phone: 6195741810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.