Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHAWN M. RODGERS, DDS, PLLC
Active
Organization
SHAWN M. RODGERS, DDS, PLLC
Active
Other names
Uptown Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE D RODGERS (PRACTICE ADMINSTRATOR)
(713) 621-4830
Entity
Organization
Contact information
Practice address
1121 UPTOWN PARK BLVD STE 19, HOUSTON, TX 77056-3226
(713) 621-4830
(713) 621-6261
Mailing address
1121 UPTOWN PARK BLVD STE 19, HOUSTON, TX 77056-3226
(713) 621-4830
(713) 621-6261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL DENTISTRY
TX
01
—
24061
DENTAL LICENSE
TX
Enumeration date
01/13/2015
Last updated
01/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up