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

Marissa Rodriquez, PROPHYASSISTANT

Individual provider Dental Assistant · NPI 1235833922

Marissa Rodriquez, PROPHYASSISTANT is a Dental Assistant in Nellis AFB, Nevada. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1235833922
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROPHYASSISTANT
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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