Fuentealba Hidalgo, Rodrigo

Fuentealba Hidalgo, Rodrigo is an individual health care provider with primary practice located at 800 Rose St Rm D642 University Of Kentucky College Of Dentistry, Lexington KY 40536-0297. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Fuentealba Hidalgo, Rodrigo can be contacted via phone (859) 323-5831.

Contact Information

Primary practice address
800 Rose St Rm D642 University Of Kentucky College Of Dentistry Lexington KY 40536-0297
Phone: (859) 323-5831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9131 Kentucky
Dental Providers / Dentist 122300000X 9131 Kentucky
Dental Providers / Prosthodontics 1223P0700X 9131 Kentucky

Profile Details

NPI number 1992080428
LBN Legal business name Fuentealba Hidalgo, Rodrigo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2011
Last updated Jan 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992080428 NPPES
Kentucky MEDICAID 7100196940

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