Rodman K Shale, DMD
Dentist, General Practice in Chestnut Hill, Massachusetts
1366516056- Practice location
- 232 Boylston St, Chestnut Hill, MA 02467-2001
- Phone
- 617-969-8558
- Fax
- 617-969-7172
- Last updated
- July 8, 2007
Rodman K Shale is a Dentist, General Practice based in Chestnut Hill, MA. Rodman K Shale practices in Chestnut Hill, MA and has the professional credentials of DMD. The NPI Number for Rodman K Shale is 1366516056 and holds a License No. 15853 (MA). The current practice location address for Rodman K Shale is 232 Boylston St, Chestnut Hill, MA 02467-2001 and can be reached out via phone at 617-969-8558 and via fax at 617-969-7172.
Provider Profile Details
- NPI Number
- 1366516056
- Provider Name
- Rodman K Shale
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 232 Boylston St, Chestnut Hill, MA 02467-2001
- Phone Number
- 617-969-8558
- Fax Number
- 617-969-7172
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 17, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 232 Boylston St
Chestnut Hill, MA 02467-2001 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-2001
- Phone Number
- 617-969-8558
- Fax Number
- 617-969-7172
Provider Business Mailing Address Details
- Address
- 232 Boylston St
Chestnut Hill, MA 02467-2001 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-2001
- Phone Number
- 617-969-8558
- Fax Number
- 617-969-7172
License Information
- License Number
- 15853
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Rodman K Shale, DMD?
The NPI number of Rodman K Shale, DMD is 1366516056. It was assigned on November 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Rodman K Shale, DMD?
Rodman K Shale, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 15853.
Where does Rodman K Shale, DMD practice?
The practice location is 232 Boylston St, Chestnut Hill, MA 02467-2001. The office can be reached at 617-969-8558 (phone) or 617-969-7172 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366516056 directly on the NPPES registry website.