Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396882833 Individual Practitioner Male Practitioner

Roderick Mathis

Dentist - General Practice • Winter Garden, FL

Professional Overview & Biography Verified Profile Summary

Roderick Mathis is a registered healthcare professional specializing in Dentist - General Practice in Winter Garden, FL. Practice services are available at 13275 W COLONIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13275 W Colonial Dr
Suite 200

Winter Garden, FL 347873984

Telephone 4079058827
Fax 4076544528
Associated Practice Facility / Clinic
🏢 Community Health Centers, Inc Facility NPI 1306935606

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winter Garden, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Winter Garden, FL (7473 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 FL 13831

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004389000 (FL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kathleen Nguyen , DMD

Dentist - General Practice

NPI 1013143544

Doctor of Dental Medicine

Patricia Edwards , NP

Nurse Practitioner - Adult Health

NPI 1013684042

Nurse Practitioner

Dr. Genelle Walters , DO

Obstetrics & Gynecology

NPI 1023270220

Doctor of Osteopathic Medicine (D.O.)

NPI 1033186986

Doctor of Dental Surgery

Dr. Merse Turnquest , MD

Obstetrics & Gynecology

NPI 1033379094

Doctor of Medicine (M.D.)

NPI 1033428305

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2014

Registered at 13275 W COLONIAL DR, SUITE 200, WINTER GARDEN, FL 347873984 (Tel: 4079058827)

📍
Updated Business Mailing Address March 26, 2014

Registered at 110 S WOODLAND ST, WINTER GARDEN, FL 347873546 (Tel: 4079058827)

👤
Provider Name / Credentials Updated March 26, 2014

Recorded as RODERICK MATHIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2014

Dentist (License #13831 in FL)

🟢
Initial NPI Registration & Enumeration February 01, 2007

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: 1396882833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: March 26, 2014
Sole Proprietor: No

Mailing Address

110 S Woodland St

Winter Garden, FL 347873546

Phone: 4079058827

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.