Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Vasquez Rodriguez, DMD

Individual provider General Practice Dentistry · NPI 1609560176

Jonathan Vasquez Rodriguez, DMD is a Dentist in Queen Creek, Arizona. Graduated from University of Louisville School of Dentistry in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
3
Trained at
University of Louisville School of Dentistry
Licensed in
AZ
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

40930 N Ironwood Dr Ste 109
Queen Creek, AZ 85140-8829
Phone: (480) 347-0753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D011815 (AZ)

Record details

NPI number1609560176
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address1057 S Deerfield Ln, Gilbert, AZ 85296-2898

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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