Vinicius Souza Rodrigues
Periodontist
1703 Village West Pkwy Ste 108
Kansas City
, Kansas 66111-1859
Vinicius Souza Rodrigues
Periodontist
1703 Village West Pkwy Ste 108
Kansas City
, Kansas 66111-1859
(603) 943-2188
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Vinicius Souza Rodrigues
- 697 Barton Dr
- Ann Arbor, MI
- Zip : 48105-1144
- Phone : (603) 943-2188
Second Address
- Vinicius Souza Rodrigues
- 1703 Village West Pkwy Ste 108
- Kansas City, KS
- Zip : 66111-1859
- Phone : (913) 800-8745
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 61988 | KS |
National Provider Identifier
| NPI | 1073771580 |
|---|---|
| Provider Name | Vinicius Souza Rodrigues |
| First Address | Ann Arbor, MI 48105-1144 |
| Second Address | Kansas City, KS 66111-1859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2008 |
| Last Update Date | 06/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.